MEDICARE: OPS FAMILY CARE, LLC

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	251S00000X	Community/Behavioral Health Agency	6503	LA

General Provider Information

NPI Number	:	1245517218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPS FAMILY CARE, LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 1831
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 BELLE CHASSE HWY STE 220
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70053-6733
Country	:	US
Telephone Number	:	504-367-6888
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/MANAGING MEMBER
Name	:	CASSANDRA DENISE SMITH
Credential	:	LCSW
Telephone Number	:	504-367-6888

Provider Enumeration Date	:	11/04/2011
Last Update Date	:	10/07/2020

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