WONDERFUL CARE SERVICES LLC (NPI# 1679846612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679846612 |
| Entity Type | Organization |
| Organization Name | WONDERFUL CARE SERVICES LLC |
| Practice Address |
610 Randall St Bastrop LA 71220-4322 |
| Mailing Address |
Po Box 923 Bastrop LA 71221-0923 |
| Practice Telephone | 3182376822 |
| Mailing Telephone | 3182376822 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | CHRISTANA SMITH (MEMBER/MANAGER) |
| Authorized Official Telephone | 3182376822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922371863 | Wonderful Care Services LLC | Custodial Care Facility | 818 N Main St, Farmerville, LA 71241-2218 | 2012-02-22 |
| Street Address |
610 RANDALL ST |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659894129 | Natalie Green | Custodial Care Facility | 2236 Martin Ave, Baton Rouge, LA 70802-1428 | 2017-07-17 |
| 1730625435 | E & C Helping Hands, LLC | Custodial Care Facility | 7429 Freemark Dr, Marrero, LA 70072-6072 | 2017-01-18 |
| 1558726828 | Halcyon Rehab | Custodial Care Facility | 36020 Wilmington Ave, Denham Springs, LA 70706-1523 | 2015-12-30 |
| 1639548993 | Trusting Hands Home Care LLC | Custodial Care Facility | 3504 Government St, Suite A, Alexandria, LA 71302-3300 | 2015-09-17 |
| 1902280506 | A Moment In Time Patient Care Services. LLC | Custodial Care Facility | 3085 Keithville Kingston Rd, Keithville, LA 71047-8360 | 2015-07-13 |
| 1265814891 | Westbank Lighthouse | Custodial Care Facility | 1712 Holiday Dr, New Orleans, LA 70114-3456 | 2015-06-19 |
| 1417349390 | Caring Hearts Wellness LLC | Custodial Care Facility | 62250 Westend Blvd, 120, Slidell, LA 70461-5622 | 2015-03-02 |
| 1790175578 | Killcrease Home Care | Custodial Care Facility | 11239 Highway 143, Farmerville, LA 71241-5535 | 2015-01-30 |
| 1295151538 | Caregiver Homes of Louisiana, Inc | Custodial Care Facility | 7884 Office Park Boulevard, Baton Rouge, LA 70809 | 2014-03-11 |
| 1811292865 | Premier Rehab | Custodial Care Facility | 211 E Worthy St Bldg 4, Gonzales, LA 70737-4232 | 2011-01-24 |
| 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.