Healthcare Provider Details

I. General information

NPI: 1245517218
Provider Name (Legal Business Name): OPS FAMILY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2011
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 BELLE CHASSE HWY STE 220
GRETNA LA
70053-6733
US

IV. Provider business mailing address

P.O. BOX 1831
GRETNA LA
70054
US

V. Phone/Fax

Practice location:
  • Phone: 504-367-6888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6503
License Number StateLA

VIII. Authorized Official

Name: CASSANDRA DENISE SMITH
Title or Position: EXECUTIVE DIRECTOR/MANAGING MEMBER
Credential: LCSW
Phone: 504-367-6888