MEDICARE: CARE AND DEVELOPMENT CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	1553913	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891817557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE AND DEVELOPMENT CENTER, INC.

Provider Business Mailing Address
First Line	:	827 CAUSEWAY BLVD
Second Line	:	SUITE 210
City	:	JEFFERSON
State	:	LA
Zip	:	70121-2738
Country	:	US
Telephone Number	:	504-833-8383
Fax Number	:	504-833-0983

Provider Business Practice Location Address
First Line	:	1919 SAINT CLAUDE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70116-1541
Country	:	US
Telephone Number	:	504-944-7400
Fax Number	:	504-944-8583

Authorized Official
Title or Position	:	CEO
Name	:	MR. GILBERT R. CHARLES III
Credential	:	MASTERS DEGREE
Telephone Number	:	504-833-8383

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	05/20/2008

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