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NPI Code Detail

MEDICARE: COMMUNITY OUTREACH SERVICES

MEDICARE: COMMUNITY OUTREACH SERVICES
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1942139373
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY OUTREACH SERVICES
Provider Business Mailing Address
First Line : 4255 E BROOKSTOWN DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-4603
Country : US
Telephone Number : 225-250-5677
Fax Number : 225-444-5209
Provider Business Practice Location Address
First Line : 4255 E BROOKSTOWN DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-4603
Country : US
Telephone Number : 225-250-5677
Fax Number : 225-444-5209
Authorized Official
Title or Position : CASE MANAGER / SOCIAL WORKER
Name : TUKEYA JARVIS
Credential : RSW
Telephone Number : 225-328-3854
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/30/2026

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Directions to “COMMUNITY OUTREACH SERVICES ” Practice Location

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