GREATER FELLOWSHIP OUTREACH CENTER, INC.


Address: 11752 S Harrells Ferry Rd, Suite E, Baton Rouge, LA 70816-2387
Phone: 2252929628

GREATER FELLOWSHIP OUTREACH CENTER, INC. (NPI# 1740302801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740302801
Entity Type Organization
Organization Name GREATER FELLOWSHIP OUTREACH CENTER, INC.
Practice Address 11752 S Harrells Ferry Rd
Suite E
Baton Rouge
LA 70816-2387
Practice Telephone 2252929628
Practice Fax Number 2252929623
Mailing Telephone 2252929628
Mailing Fax Number 2252929623
Enumeration Date 2007-04-06
Last Update Date 2020-08-22
Authorized Official Name KEISHA C DAISY (OWNER-DIRECTOR)
Authorized Official Telephone 2259313571
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
7936 LA Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1432491 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831211994 Greater Fellowship Outreach Center, Inc. Technician 11752 S Harrells Ferry Rd, Suite E, Baton Rouge, LA 70816-2387 2007-04-06
1659493716 Greater Fellowship Outreach Center, Inc. Technician 11752 S Harrells Ferry Rd, Suite E, Baton Rouge, LA 70816-2387 2007-04-06

Office Location

Street Address 11752 S HARRELLS FERRY RD
SUITE E
City BATON ROUGE
State LA
Zip Code 70816-2387

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265563332 Greater Fellowship Outreach Center Technician 11752 S Harrells Ferry Rd, Suite E, Baton Rouge, LA 70816-2387 2007-03-08
1316164536 Greater Fellowship Outreach Center, Inc Technician 11752 S Harrells Ferry Rd, Suite E, Baton Rouge, LA 70816-2387 2007-04-19
1831211994 Greater Fellowship Outreach Center, Inc. Technician 11752 S Harrells Ferry Rd, Suite E, Baton Rouge, LA 70816-2387 2007-04-06
1659493716 Greater Fellowship Outreach Center, Inc. Technician 11752 S Harrells Ferry Rd, Suite E, Baton Rouge, LA 70816-2387 2007-04-06

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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1255889804 Tawanna Jones Technician 8211 Summa Ave Ste A, Baton Rouge, LA 70809-3471 2016-09-13
1760880702 Monica Anderson Technician 14635 S Harrells Ferry Rd Ste 2d, Baton Rouge, LA 70816-2959 2014-12-08
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Competitor

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City BATON ROUGE
Zip Code 70816

Improve Information

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Dataset Information

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.

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