KESJAN ASSISTED LIVING CARE (NPI# 1063026102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063026102 |
| Entity Type | Organization |
| Organization Name | KESJAN ASSISTED LIVING CARE |
| Practice Address |
350 Desiard Plaza Dr Ste 117 Monroe LA 71203-4959 |
| Practice Telephone | 3189536131 |
| Mailing Telephone | 3189536131 |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | KESJAN JRELL HARRIS (CEO) |
| Authorized Official Telephone | 3189536131 |
| Is Organization Subpart | Y |
| Parent Organization Name | KESJAN ASSISTED LIVING CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Kesjan Assisted Living Care | Former Legal Business Name - Organization |
| Street Address |
350 DESIARD PLAZA DR STE 117 |
| City | MONROE |
| State | LA |
| Zip Code | 71203-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138721 | Monroe Assisted Care Center Lc | Assisted Living Facility | 2299 Sterlington Rd, Monroe, LA 71203-3032 | 2020-09-10 |
| 1922572783 | Laurie L Werrline | Assisted Living Facility | W5759 Mings Rd, Monroe, WI 53566-9795 | 2019-01-15 |
| 1265785273 | Georgia Health Services Network, LLC | Assisted Living Facility | 155 Bankers Blvd, Bldg A, Suite 100, Monroe, GA 30655-7722 | 2012-10-16 |
| 1063789501 | Monroe Manor Assisted Living Inc | Assisted Living Facility | 1101 Baucom Rd, Monroe, NC 28110-7584 | 2011-11-29 |
| 1881825529 | Carillon Assisted Living of Monroe, LLC | Assisted Living Facility | 5306 Secrest Short Cut Rd, Monroe, NC 28110 | 2009-07-29 |
| 1841330776 | Agape II | Assisted Living Facility | 1008 Griffith Rd, Monroe, NC 28112-6241 | 2007-02-08 |
| 1699815035 | Hillcrest Church Rest Home, Inc. | Assisted Living Facility | 4123 Hillcrest Church Rd, Monroe, NC 28110-8292 | 2007-02-07 |
| 1669518981 | Agape I | Assisted Living Facility | 504 Colony Rd, Monroe, NC 28112-4511 | 2007-01-30 |
| 1558408898 | Jeff's Place | Assisted Living Facility | 1109 Griffith Rd, Monroe, NC 28112-6244 | 2007-01-30 |
| 1083751317 | Agape Windsor | Assisted Living Facility | 907 W Windsor St, Monroe, NC 28112-5469 | 2007-01-30 |
| Find all providers in MONROE | ||||
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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.