LASTING IMPRESSION CARE INC (NPI# 1043408651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043408651 |
| Entity Type | Organization |
| Organization Name | LASTING IMPRESSION CARE INC |
| Practice Address |
405 Gretna Blvd Suite 103c Gretna LA 70053-4900 |
| Practice Telephone | 5072278343 |
| Practice Fax Number | 5042278540 |
| Mailing Telephone | 5042278343 |
| Mailing Fax Number | 5042278540 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MRS. TRU'IESHIA RANEE ANDERSON-MANARD (DIRECTOR) |
| Authorized Official Telephone | 5042278343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | PCA 14002 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1629383 | 05 |
| Street Address |
405 GRETNA BLVD SUITE 103C |
| City | GRETNA |
| State | LA |
| Zip Code | 70053-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003004441 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| 1730377177 | Lasting Impression Care, Inc | Respite Care | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| 1912195355 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917247 | Lindsey Boler | Case Manager/Care Coordinator | Maxima Group Behavioral Services, 405 Gretna Blvd, LA 70053 | 2020-09-22 |
| 1184254658 | Denni Turner | Counselor | 2100 Belle Chasse Hwy., Gretna, LA 70053 | 2020-01-23 |
| 1871068478 | Nhi Cam Tran | Pharmacist | 629 Derbigny St, Gretna, LA 70053 | 2018-10-10 |
| 1639655574 | Rachel Lynn White | Massage Therapist | 2120 Belle Chase Hwy, Gretna, LA 70053 | 2018-07-13 |
| 1982193165 | Quality Care Home Care LLC | In Home Supportive Care | 310 Huey P Long Ave Ste 109, Gretna, LA 70053 | 2018-05-03 |
| 1073021663 | Nola Psychotherapy Center | Counselor | 405 Gretna Boulevard, Suite 200, Gretna, LA 70053 | 2018-01-17 |
| 1396256707 | Quality Independent Case Management, LLC | Case Management | 1530 Huey P Long Ave, Gretna, LA 70053 | 2017-10-12 |
| 1790223444 | Tekira Fox | Case Manager/Care Coordinator | 1500 Lafayette St. Ste 140, Gretna, LA 70053 | 2017-02-02 |
| 1710359542 | Joshua Washington | Counselor | 2100 Belle Chasse Highway, Gretna, LA 70053 | 2015-10-20 |
| 1174877328 | Audra Javaise Tousaint | Counselor | 405 Gretna Blvd Ste 200, Gretna, LA 70053 | 2012-11-08 |
| Find all providers in zip 70053 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686435 | Abiding In The Vine Care Provider | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1141 Whitney Ave Bldg 2, Gretna, LA 70056-5011 | 2018-04-18 |
| 1639380421 | Catholic Charities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1430 Claire Ave, Gretna, LA 70053-7436 | 2007-05-24 |
| 1821208851 | Catholic Charities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 361 Ocean Ave, Gretna, LA 70053-4726 | 2007-05-22 |
| 1649226572 | Doss Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 860 Piney Grove Rd, Gretna, VA 24557-1843 | 2006-05-25 |
| 1003004441 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
| 1912195355 | Lasting Impression Care, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Gretna Blvd, Suite 103c, Gretna, LA 70053-4900 | 2007-10-11 |
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|---|---|---|---|---|
| 1417570847 | Foundation for You Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Sibley St, Natchitoches, LA 71457-4420 | 2020-05-20 |
| 1114556412 | Grelan Muse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3347 N Foster Dr, Baton Rouge, LA 70805-6825 | 2020-04-07 |
| 1619506912 | Lejune's Enterprises LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5720 Saint Gerard Ave, Baton Rouge, LA 70805-3753 | 2020-04-07 |
| 1912545567 | Safecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 403 Willow St, Franklin, LA 70538-6022 | 2019-12-13 |
| 1528613049 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 608 Lisa St, Rayne, LA 70578-7056 | 2019-08-02 |
| 1578118097 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Electa St, Rayne, LA 70578-7056 | 2019-08-02 |
| 1720539299 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15212 Wadesboro Dr., Ponchatoula, LA 70454 | 2016-10-20 |
| 1770931503 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24345 Harvey Lavigne Road, Ponchatoula, LA 70454 | 2016-06-02 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 1679921860 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10599 Gatlin Road, Hammond, LA 70403 | 2016-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.