Healthcare Provider Details

I. General information

NPI: 1184587065
Provider Name (Legal Business Name): CARE ELEVEN PROVIDER DIRECT SERVICES OF LOUISIANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SAINT CLAUDE AVE
NEW ORLEANS LA
70117-6142
US

IV. Provider business mailing address

3333 SAINT CLAUDE AVE
NEW ORLEANS LA
70117-6142
US

V. Phone/Fax

Practice location:
  • Phone: 504-565-7882
  • Fax: 504-324-7791
Mailing address:
  • Phone: 504-565-7882
  • Fax: 504-324-7791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN TODD JONES
Title or Position: CEO/CMO
Credential: MD
Phone: 504-565-7882