RED RIVER COUNCIL ON AGING, INC. (NPI# 1679785976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679785976 |
| Entity Type | Organization |
| Organization Name | RED RIVER COUNCIL ON AGING, INC. |
| Practice Address |
1825 Front Street Coushatta LA 71019 |
| Mailing Address |
P.o. Drawer 688 Coushatta LA 71019 |
| Practice Telephone | 3189325721 |
| Practice Fax Number | 3189329572 |
| Mailing Telephone | 3189325721 |
| Mailing Fax Number | 3189329572 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY S. WAILES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3189325721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1171794 | 05 | |
| LA | 1963836 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336326230 | Red River Council On Aging, Inc. | Technician | 1825 Front Street, Coushatta, LA 71019-0688 | 2008-01-23 |
| 1174736409 | Red River Council On Aging, Inc. | Clinic/Center | 1825 Front Street, Coushatta, LA 71019 | 2007-05-07 |
| Street Address |
1825 FRONT STREET |
| City | COUSHATTA |
| State | LA |
| Zip Code | 71019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336326230 | Red River Council On Aging, Inc. | Technician | 1825 Front Street, Coushatta, LA 71019-0688 | 2008-01-23 |
| 1174736409 | Red River Council On Aging, Inc. | Clinic/Center | 1825 Front Street, Coushatta, LA 71019 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898763 | Saint Mark Hospice and Palliative Care LLC | Hospice Care, Community Based | Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 | 2019-02-21 |
| 1750824900 | Ruby Braxton | Counselor | 936 E. Carroll Street, Coushatta, LA 71019 | 2016-11-21 |
| 1447621222 | Ranette Smith | Counselor | 1414 Leigh Street, Coushatta, LA 71019 | 2015-10-19 |
| 1205157237 | Red River Parish Police Jury | Ambulance | 525 Rush Street, Coushatta, LA 71019 | 2010-06-14 |
| 1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
| 1437346186 | Specialty Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019 | 2007-09-26 |
| 1699805515 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 S, Coushatta, LA 71019 | 2007-03-07 |
| 1629108386 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 South, Coushatta, LA 71019 | 2007-03-06 |
| 1245366251 | The Will of God Ministries Outreach Program | Preferred Provider Organization | 1113 Caliope Street, Coushatta, LA 71019 | 2007-02-26 |
| 1629114889 | Deborah Jeanne Dejean-eaton | Registered Nurse | 1313 Ringgold Ave., Coushatta, LA 71019 | 2007-01-29 |
| Find all providers in zip 71019 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306734 | Terneisha S.sparks | Adult Companion | 2487 Paige Janette Dr, Harvey, LA 70058-2136 | 2020-08-13 |
| 1336797141 | Angelic Care Services | Adult Companion | 4480 General Degaulle Dr Ste 223, New Orleans, LA 70131-6306 | 2019-08-27 |
| 1699234575 | Mackenzie Denise Ceasar | Adult Companion | 1533 Fourth St, Jonesville, LA 71343-2127 | 2019-03-19 |
| 1639671548 | Delaine Grace | Adult Companion | 10719 Vienna St, New Orleans, LA 70127-3117 | 2018-03-07 |
| 1508365032 | Divine Companion Care Services | Adult Companion | 616 Mcdonald Ave, Ruston, LA 71270-4627 | 2018-02-10 |
| 1356869606 | Seeds In Action Communty Health Care, Inc. | Adult Companion | 2210 Line Ave Ste 101, Shreveport, LA 71104-2100 | 2017-09-07 |
| 1619497930 | Treston Moore | Adult Companion | 2175 Stockwell Rd Apt 417, Bossier City, LA 71111 | 2017-06-27 |
| 1396277463 | People First Direct Care, LLC | Adult Companion | 12400 Jefferson Highway #1808, Baton Rouge, LA 70816-6259 | 2017-03-29 |
| 1851753990 | Julia M Carter-cook | Adult Companion | 1000 West Dr Ste B, Westwego, LA 70094-5372 | 2016-03-28 |
| 1508230368 | Keisha Green | Adult Companion | 2616 General Patton St, Lake Charles, LA 70615-8116 | 2015-11-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.