Healthcare Provider Details
I. General information
NPI: 1710196175
Provider Name (Legal Business Name): CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2007
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
509 N 2ND ST
MONROE LA
71201-6233
US
IV. Provider business mailing address
509 N 2ND ST
MONROE LA
71201-6233
US
V. Phone/Fax
- Phone: 318-362-0036
- Fax: 318-362-0165
- Phone: 318-362-0036
- Fax: 318-362-0165
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | PCA10806 |
| License Number State | LA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTHONY
JACOLA
Title or Position: OWNER
Credential:
Phone: 318-362-0036