ADVANCED THERAPEUTIC SERVICES (NPI# 1831597137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831597137 |
| Entity Type | Organization |
| Organization Name | ADVANCED THERAPEUTIC SERVICES |
| Practice Address |
1799 Stumpf Blvd Bldg 3 Terrytown LA 70056-3950 |
| Practice Telephone | 5044070755 |
| Practice Fax Number | 5044070778 |
| Mailing Telephone | 5044070755 |
| Mailing Fax Number | 5044070778 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Authorized Official Name | MR. RUDOLPH CASANOVA CLARKE (OWNER) |
| Authorized Official Telephone | 5046212306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 305R00000X | LA | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCED THERAPEUTIC SERVICES, INC. | 10386 Sw 16th Ct, Pembroke Pines, FL 33025-4770 |
| Street Address |
1799 STUMPF BLVD BLDG 3 |
| City | TERRYTOWN |
| State | LA |
| Zip Code | 70056-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871906362 | Janier Mckinnies | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2014-06-03 |
| 1750988333 | Nicole Gordon | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2020-10-06 |
| 1457884322 | Derick Shields | Counselor | 1799 Stumpf Blvd Bldg 3, Ste 4b, Terrytown, LA 70056-3950 | 2017-04-07 |
| 1295274090 | Ira Wilson | Community/Behavioral Health | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2017-02-14 |
| 1790143907 | Courtney Paul | Counselor | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1013466051 | Cognitive Development Center | Preferred Provider Organization | 316 Woodale Dr Apt 11, Monroe, LA 71203-2712 | 2016-10-03 |
| 1043663040 | Elocin of Greater New Orleans | Preferred Provider Organization | 3401 Saint Claude Ave, New Orleans, LA 70117-6144 | 2016-07-14 |
| 1104277854 | Butterfly Effects | Preferred Provider Organization | 5844 Bienvenue Ave, Marrero, LA 70072-4704 | 2016-06-23 |
| 1255791950 | Gwangis Conseling | Preferred Provider Organization | 308 Turtle Creek Ln, Saint Rose, LA 70087-3824 | 2016-02-24 |
| 1427415918 | Family Therapy and Wellness Consulting | Preferred Provider Organization | 418 Webb Ct, Minden, LA 71055-2649 | 2016-01-28 |
| 1346619137 | Affirmed Counseling Cent | Preferred Provider Organization | 4419 General Pershing St, New Orleans, LA 70125-3632 | 2015-09-22 |
| 1861861148 | Integrity Managed Care Systems | Preferred Provider Organization | 124 Nita St, New Iberia, LA 70563-2424 | 2015-09-17 |
| 1386990430 | Living Waters Community Ministry | Preferred Provider Organization | 803 N 48th St, Baton Rouge, LA 70802-1346 | 2012-07-26 |
| 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.