PROVISIONS CARE AND RESIDENTIAL SERVICES, LLC (NPI# 1699109983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699109983 |
| Entity Type | Organization |
| Organization Name | PROVISIONS CARE AND RESIDENTIAL SERVICES, LLC |
| Practice Address |
7125 Villere Dr Baker LA 70714-5347 |
| Practice Telephone | 2257758188 |
| Practice Fax Number | 2257758189 |
| Mailing Telephone | 2257758188 |
| Mailing Fax Number | 2257758189 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MRS. CHARLETTE MARIE MINOR (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2257758188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | LA | Residential Treatment Facilities |
| Street Address |
7125 VILLERE DR |
| City | BAKER |
| State | LA |
| Zip Code | 70714-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406574 | Chasity Davis | Counselor | 12753 Plank Rd Apt 32, Baker, LA 70714 | 2017-09-13 |
| 1417486895 | Cicella Lorine Benton | Counselor | 3327 Grant St, Baker, LA 70714 | 2017-06-08 |
| 1447782594 | I Know I Can Speech-language Therapy Services | Early Intervention Provider Agency | 7206 Juno Drive, Baker, LA 70714 | 2017-03-29 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 1013363241 | Micon Gaines | Counselor | 4206 N. Morvant Pl., Baker, LA 70714 | 2016-05-06 |
| 1932564549 | Clifton Hunt | Case Manager/Care Coordinator | 3276 Jackson St, Baker, LA 70714 | 2015-12-24 |
| 1992174833 | A Loving Heart Medical Transportation,llc | Non-emergency Medical Transport (VAN) | 5401 Rue Nicole, Baker, LA 70714 | 2015-09-22 |
| 1174927685 | Unique Healthcare Options | Clinic/Center | 1877 Heck Young Rd, Baker, LA 70714 | 2014-10-13 |
| 1972934263 | Freds Stores of Tennessee Inc | Pharmacy | 312 Main Street Hwy 19, Baker, LA 70714 | 2013-12-11 |
| 1245665157 | Cope Behavior Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 4425 Groom Road, Suite B, Baker, LA 70714 | 2013-09-10 |
| Find all providers in zip 70714 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245665157 | Cope Behavior Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 4425 Groom Road, Suite B, Baker, LA 70714 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1174036156 | House of Hope | Community Based Residential Treatment Facility, Mental Illness | 222 W Hickory Ave, Bastrop, LA 71220-4552 | 2017-11-13 |
| 1952757023 | Cane River Children's Services | Community Based Residential Treatment Facility, Mental Illness | 425 Rue De Gabriel, Natchitoches, LA 71457-8243 | 2016-05-09 |
| 1609232644 | William Tucker | Community Based Residential Treatment Facility, Mental Illness | 820 Oneal Ln, Baton Rouge, LA 70816-1805 | 2016-01-06 |
| 1417352428 | We Care Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 1404 5th St, Alexandria, LA 71301-7933 | 2014-11-03 |
| 1497150940 | Love Village of Ouachita | Community Based Residential Treatment Facility, Mental Illness | 4463 Winnsboro Rd, Monroe, LA 71202-7509 | 2014-10-27 |
| 1457783078 | Walk With Me Community Improvement Center | Community Based Residential Treatment Facility, Mental Illness | 19331 N 12th St, Covington, LA 70433-5228 | 2013-08-06 |
| 1003167446 | Legacy Recovery | Community Based Residential Treatment Facility, Mental Illness | 168 W Washington St, Baton Rouge, LA 70802-7655 | 2012-09-25 |
| 1154672814 | Hope for You Caring Services LLC | Community Based Residential Treatment Facility, Mental Illness | 6232 Renoir Ave, Baton Rouge, LA 70806-2024 | 2012-09-20 |
| 1104176924 | Breathe Again LLC | Community Based Residential Treatment Facility, Mental Illness | 1799 Stumpf Blvd Bldg 2 Ste 4a, Gretna, LA 70056 | 2012-09-19 |
| 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.