MEDICARE: CBI INSURANCE & CARE MANAGEMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	11832	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164605325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CBI INSURANCE & CARE MANAGEMENT

Provider Business Mailing Address
First Line	:	PO BOX 46212
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70895-6212
Country	:	US
Telephone Number	:	225-296-1346
Fax Number	:	225-296-1347

Provider Business Practice Location Address
First Line	:	11822 JUSTICE AVE
Second Line	:	SUITE A6
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2306
Country	:	US
Telephone Number	:	225-296-1346
Fax Number	:	225-296-1347

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MS. MICHELE THORNTON-BROWN
Credential	:
Telephone Number	:	225-296-1346

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	11/18/2008

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