LIFE TIME PERSONAL CARE SERVICE (NPI# 1811200595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811200595 |
| Entity Type | Organization |
| Organization Name | LIFE TIME PERSONAL CARE SERVICE |
| Practice Address |
1010 Common St Suite 2660 New Orleans LA 70112-2401 |
| Practice Telephone | 5049623101 |
| Practice Fax Number | 5049623102 |
| Mailing Telephone | 5049623101 |
| Mailing Fax Number | 5049623102 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | MRS. SANDRA DELAINE THRASH (ADMINISTRATOR) |
| Authorized Official Telephone | 5049623101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
11694 | LA | Nursing Service Related Providers |
| Y | 372500000X | Chore Provider | 11694 | LA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1887714 | 05 | |
| LA | 1887552 | 05 |
| Street Address |
1010 COMMON ST SUITE 2660 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700857091 | Mark R Malouse | Pharmacist | 1010 Common St, Suite A1460, New Orleans, LA 70112-2401 | 2006-01-27 |
| 1376054890 | Victoria Hall Townsend | Social Worker | 1010 Common St, New Orleans, LA 70112-2401 | 2017-10-24 |
| 1790202059 | Malita Benoit | Social Worker | 1010 Common St, New Orleans, LA 70112-2401 | 2017-08-28 |
| 1528519774 | D'juan Terrence Dorsey Sr. | Social Worker | 1010 Common St, New Orleans, LA 70112-2401 | 2016-10-21 |
| 1609323500 | Devin Brocks | Community Health Worker | 1010 Common St, Suite 500, New Orleans, LA 70112-2401 | 2016-09-08 |
| 1588111355 | Brenda Claiborne | Licensed Practical Nurse | 1010 Common St, New Orleans, LA 70112-2401 | 2016-09-08 |
| 1902353063 | Anna Truehill | Community Health Worker | 1010 Common St, Suite 500, New Orleans, LA 70112-2401 | 2016-09-07 |
| 1982151957 | Christopher Gabriel Brown Sr. | Behavior Technician | 1010 Common St, Suite 500, New Orleans, LA 70112 | 2016-09-07 |
| 1710434931 | Diane Ferguson | Social Worker | 1010 Common St, Ste 500, New Orleans, LA 70112-2401 | 2016-09-06 |
| 1578010799 | Michelle Osborne Holmes-bolden | Counselor | 1010 Common St, Suite 500, New Orleans, LA 70112-2401 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721255 | Notre Dame Health System | Chore Provider | 1000 Howard Ave Fl 10, New Orleans, LA 70113 | 2018-08-28 |
| 1982841177 | Tyrie Damon Blue Sr. | Chore Provider | 7604 Bullard Ave, New Orleans, LA 70128-1125 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092639 | Terri Allen | Chore Provider | 3400 Kent Ave Apt M112, Metairie, LA 70006-3998 | 2020-08-05 |
| 1215561014 | Brady John Castille | Chore Provider | 168 Eckart Dr, New Iberia, LA 70560-1413 | 2020-03-02 |
| 1013479153 | Jerry Patrick Ford | Chore Provider | 114 Arlington Dr, Monroe, LA 71203-4702 | 2019-04-05 |
| 1477015360 | Southern Home Care Services, Inc | Chore Provider | 4508 Coliseum Blvd Unit 1, Alexandria, LA 71303-3564 | 2019-04-01 |
| 1417425885 | Joyful Days LLC | Chore Provider | 308 Pine St Ste B, Minden, LA 71055-3101 | 2018-11-05 |
| 1750867495 | Alliance Healthcare Staffing | Chore Provider | 1731 Moeling St, Lake Charles, LA 70601-1757 | 2018-07-16 |
| 1780126714 | Advanced Sitting Solutions | Chore Provider | 405 Wall St, Columbia, LA 71418 | 2016-11-08 |
| 1396295085 | Juvo Home Care, LLC | Chore Provider | 43046 Homeplace Ln, Prairieville, LA 70769-6276 | 2016-10-06 |
| 1003361437 | Joyce Peterson | Chore Provider | 6391 Highway 1, Shreveport, LA 71107-8757 | 2016-08-15 |
| 1528436151 | Nakesia Latonya Washington | Chore Provider | 941 Beechgrove Blvd, Apt G, Westwego, LA 70094-3833 | 2015-09-14 |
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| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.