Healthcare Provider Details

I. General information

NPI: 1043440233
Provider Name (Legal Business Name): CARE PLAN OVERSIGHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 SUMMA AVE
BATON ROUGE LA
70809-3423
US

IV. Provider business mailing address

8000 SUMMA AVE
BATON ROUGE LA
70809-3423
US

V. Phone/Fax

Practice location:
  • Phone: 225-819-0703
  • Fax: 225-906-4085
Mailing address:
  • Phone: 225-819-0703
  • Fax: 225-906-4085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number653
License Number StateLA

VIII. Authorized Official

Name: MR. PATRICK MITCHELL
Title or Position: OWNER
Credential:
Phone: 225-368-3148