DOVE OUTREACH CENTER, INC. (NPI# 1912221201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912221201 |
| Entity Type | Organization |
| Organization Name | DOVE OUTREACH CENTER, INC. |
| Practice Address |
9445 Syble Dr Baton Rouge LA 70814-4053 |
| Mailing Address |
Po Box 45371 Baton Rouge LA 70895-4371 |
| Practice Telephone | 2252468824 |
| Practice Fax Number | 2252468299 |
| Mailing Telephone | 2252468824 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | MRS. MICHELLE BOOKER (OWNER/DIRECTOR) |
| Authorized Official Telephone | 2253261772 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
14577 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 3104A0625X | 05 |
| Street Address |
9445 SYBLE DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70814-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417409 | Dianne Smart Patterson | Case Manager/Care Coordinator | 10821 Cedar Bend Ave, Baton Rouge, LA 70814 | 2018-05-14 |
| 1649794785 | Quiana Gage | Counselor | 3185 Oakcrest Drive, Baton Rouge, LA 70814 | 2017-07-31 |
| 1093166696 | Caring To Love Ministries Inc | Clinic/Center | 3813 North Flannery Rd, Baton Rouge, LA 70814 | 2016-06-24 |
| 1124480439 | Marquiea Anderson | Counselor | 3323 Charlotte Dr., Baton Rouge, LA 70814 | 2016-03-25 |
| 1194196204 | Keyana Deshawn Jackson | Counselor | 4041 Daytona Ave, Baton Rouge, LA 70814 | 2015-10-14 |
| 1013311877 | Tasha Lucien | Registered Nurse | 8508 Greeenwell Springs Rd Apt #27, Baton Rouge, LA 70814 | 2014-10-22 |
| 1245661271 | Freds Stores of Tennessee Inc | Pharmacy | 10710 Greenwell Springs Road, Baton Rouge, LA 70814 | 2013-12-02 |
| 1104057686 | Terri Whitley Jackson | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814 | 2009-08-02 |
| 1457539025 | Kenny Roy Oswald | Dentist | 3557 Monterrey Drive, Baton Rouge, LA 70814 | 2008-02-06 |
| 1093990806 | Cahronda Kaliquec Johnson | Speech-Language Pathologist | 3837 Sarasota Dr, Baton Rouge, LA 70814 | 2007-12-31 |
| Find all providers in zip 70814 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151346 | Personal Advance Care, LLC | Assisted Living Facility | 2523 Laurel St, Baton Rouge, LA 70802-3140 | 2019-12-17 |
| 1033251533 | Personal Care Services Inc | Assisted Living Facility | 6673 Van Gogh Ave, Baton Rouge, LA 70806 | 2007-02-12 |
| 1609033836 | Personal Care Services, Inc | Assisted Living Facility | 6673 Van Gogh Ave, Baton Rouge, LA 70806-2761 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679692552 | Higherheights Managing Services LLC | Assisted Living Facility | 8018highway23, Ste210, Bellechasse, LA 70037-2404 | 2007-03-29 |
| 1003863853 | Happy Haven Homes Inc. | Assisted Living Facility | 1206 J W Davis Dr, Ste. 105, Hammond, LA 70403-5953 | 2006-05-27 |
| 1265983126 | B S Pharmacy LLC | Assisted Living Facility | 999 Robert Blvd, Slidell, LA 70458-2009 | 2016-10-17 |
| 1134345192 | Ruston Developmental Center | Assisted Living Facility | 2776 Highway 150, Ruston, LA 71270-1500 | 2007-04-18 |
| 1326167248 | Higherheights Managing Services LLC | Assisted Living Facility | 8018highway23, Ste210, Bellechasse, LA 70037-2404 | 2007-03-29 |
| City | BATON ROUGE |
| Zip Code | 70814 |
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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.