Healthcare Provider Details
I. General information
NPI: 1881899565
Provider Name (Legal Business Name): CLARITY HEALTH SERVICES SC, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2007
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9191 BLUEBONNET BLVD
BATON ROUGE LA
70810-2810
US
IV. Provider business mailing address
9191 BLUEBONNET BLVD
BATON ROUGE LA
70810-2810
US
V. Phone/Fax
- Phone: 225-291-4700
- Fax: 225-291-4242
- Phone: 225-291-4700
- Fax: 225-291-4242
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0002X |
| Taxonomy | Hospice and Palliative Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | PENDING |
| License Number State | LA |
VIII. Authorized Official
Name:
MONICA
GUARISCO
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 225-291-4700