CERTICAREINC
NPI 1205995792
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ruston, LA

NPI Status: Active since December 08, 2006

Contact Information

413 S FARMERVILLE ST
RUSTON, LA
ZIP 71270
Phone: (318) 255-1077

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About CERTICAREINC

This page provides the complete NPI Profile along with additional information for Certicareinc, a provider established in Ruston, Louisiana operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1205995792 assigned on December 2006. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Michael Dwaine Douglas Sr. (Presiden)

NPI
1205995792
Provider Name
CERTICAREINC
Entity Type
Organization
Location Address
413 S FARMERVILLE ST RUSTON, LA 71270
Location Phone
(318) 255-1077
Mailing Address
413 S FARMERVILLE ST RUSTON, LA 71270
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL DWAINE DOUGLAS SR.

Authorized Official Title
PRESIDEN
Authorized Official Phone
(318) 255-1077

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1773662MEDICAID (05)LA 
1462870MEDICAID (05)LA 
1773212MEDICAID (05)LA 
1123609MEDICAID (05)LA 
1123625MEDICAID (05)LA 
1773620MEDICAID (05)LA 

Reviews for CERTICAREINC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205995792
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220518910718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 9 + 1 + 0 + 7 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1205995792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962692541CERTICARE, INC.
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 255-1077
1962697375CERTICARE, INC
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 255-1077
1578762977CERTICARE INC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 255-1077
1831398239CERTICARE,INC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 255-1077
1114126513CERTICARE,INC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 255-1077
1932308335CERTICARE, INC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 255-1077
1841499241CERTICARE, INC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 255-1077
1740874965 LATOYA HUNTER
Individual
Counselor (Mental Health)413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1255795126 MELVINA FIELDS
Individual
Counselor (Mental Health)413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1255863155 ANGELA HINES
Individual
Case Manager/Care Coordinator413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1063136562 AALIYAH JONES
Individual
Case Manager/Care Coordinator413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1932822137 SHEQUEA HOWARD
Individual
Case Manager/Care Coordinator413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1013613926 ELLA JAMES NIMMERS
Individual
Counselor413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 828-3484
1922709732 SHARON HEWITT SNEED
Individual
Counselor413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1053005884 STEPHANIE BUNDLE
Individual
Social Worker413 S FARMERVILLE ST
RUSTON, LA 71270
(832) 928-6614
1538672910RISING KARE COUNSELING LLC
Organization
Counselor (Mental Health)413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1326810987 NICOLE PARKER HOOF
Individual
Counselor (Mental Health)413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1124886213MR. TNARRIO ELLIOTT
Individual
Case Manager/Care Coordinator413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 243-9338
1912765058 LADAISHA A JOHNSON
Individual
Case Manager/Care Coordinator413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463
1720816762 ROBBIE BURNETTE WILLIAMS LCSW
Individual
Social Worker (Clinical)413 S FARMERVILLE ST
RUSTON, LA 71270
(318) 548-1463

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205995792, enumerated in the NPI registry as an "organization" on December 08, 2006

The provider is located at 413 S Farmerville St Ruston, La 71270 and the phone number is (318) 255-1077

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.