LASTING IMPRESSION CARE, INC (NPI# 1730377177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730377177 |
| Entity Type | Organization |
| Organization Name | LASTING IMPRESSION CARE, INC |
| Practice Address |
405 Gretna Blvd Suite 103c Gretna LA 70053-4900 |
| Practice Telephone | 5042278343 |
| Practice Fax Number | 5042278540 |
| Mailing Telephone | 5042278343 |
| Mailing Fax Number | 5042278540 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | MRS. TRU'IESHIA RANEE ANDERSON-MANARD (DIRECTOR) |
| Authorized Official Telephone | 5042278343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
RC 13000 | LA | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1725633 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003004441 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| 1912195355 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| Street Address |
405 GRETNA BLVD SUITE 103C |
| City | GRETNA |
| State | LA |
| Zip Code | 70053-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043408651 | Lasting Impression Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-09 |
| 1003004441 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| 1912195355 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917247 | Lindsey Boler | Case Manager/Care Coordinator | Maxima Group Behavioral Services, 405 Gretna Blvd, LA 70053 | 2020-09-22 |
| 1184254658 | Denni Turner | Counselor | 2100 Belle Chasse Hwy., Gretna, LA 70053 | 2020-01-23 |
| 1871068478 | Nhi Cam Tran | Pharmacist | 629 Derbigny St, Gretna, LA 70053 | 2018-10-10 |
| 1639655574 | Rachel Lynn White | Massage Therapist | 2120 Belle Chase Hwy, Gretna, LA 70053 | 2018-07-13 |
| 1982193165 | Quality Care Home Care LLC | In Home Supportive Care | 310 Huey P Long Ave Ste 109, Gretna, LA 70053 | 2018-05-03 |
| 1073021663 | Nola Psychotherapy Center | Counselor | 405 Gretna Boulevard, Suite 200, Gretna, LA 70053 | 2018-01-17 |
| 1396256707 | Quality Independent Case Management, LLC | Case Management | 1530 Huey P Long Ave, Gretna, LA 70053 | 2017-10-12 |
| 1790223444 | Tekira Fox | Case Manager/Care Coordinator | 1500 Lafayette St. Ste 140, Gretna, LA 70053 | 2017-02-02 |
| 1710359542 | Joshua Washington | Counselor | 2100 Belle Chasse Highway, Gretna, LA 70053 | 2015-10-20 |
| 1174877328 | Audra Javaise Tousaint | Counselor | 405 Gretna Blvd Ste 200, Gretna, LA 70053 | 2012-11-08 |
| Find all providers in zip 70053 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194880229 | A Plus People Services | Respite Care | 12 A Westbank Expressway, Ste 204, Gretna, LA 70053 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700438462 | Blessed Life Health Services | Respite Care | 2273 Barataria Blvd, Marrero, LA 70072-5456 | 2019-07-12 |
| 1386010650 | Sister To Sister Care LLC | Respite Care | 504 Walnut St, Minden, LA 71055-4460 | 2015-08-20 |
| 1871938720 | Marie's Family Healthcare, Inc. | Respite Care | 111 N Walnut St, Tallulah, LA 71282-3733 | 2013-05-06 |
| 1962846774 | Carc, Inc | Respite Care | 1718 Hodges St, Lake Charles, LA 70601-6019 | 2013-04-23 |
| 1609192541 | New Orleans Homes of Care | Respite Care | 7441 Symmes Ave, New Orleans, LA 70127-1743 | 2010-04-16 |
| 1215160833 | Courteous Care | Respite Care | 1515 S Salcedo St, New Orleans, LA 70125-2829 | 2009-08-30 |
| 1801036918 | Homecare Assistance, LLC | Respite Care | 800 S Lewis St, Suite 207, New Iberia, LA 70560-4854 | 2009-03-02 |
| 1497912463 | We Care Homes Inc | Respite Care | 656 North St, Baton Rouge, LA 70802-5419 | 2008-05-19 |
| 1831386358 | Port City Enterprises, Inc. | Respite Care | 836 N. Seventh St, Port Allen, LA 70767 | 2007-09-28 |
| 1982826293 | Malaner Edwards Gallow | Respite Care | 3485 Faubourg Rd, Washington, LA 70589-5512 | 2007-05-03 |
| 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.