LIFESPAN CARE LLC


Address: 1950 Duralde Hwy, Eunice, LA 70535-2131
Phone: 3377729946

LIFESPAN CARE LLC (NPI# 1114308731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114308731
Entity Type Organization
Organization Name LIFESPAN CARE LLC
Practice Address 1950 Duralde Hwy
Eunice
LA 70535-2131
Practice Telephone 3377729946
Mailing Telephone 3377729946
Enumeration Date 2015-06-10
Last Update Date 2015-06-10
Authorized Official Name LISA JAUBERT (PRESIDENT)
Authorized Official Telephone 3377729946
Authorized Official Credential ANP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1950 DURALDE HWY
City EUNICE
State LA
Zip Code 70535-2131

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1740791664 Danielle Young Counselor 123 Shelly Drive, Eunice, LA 70535 2017-10-18
1386153781 Shalana Charlot Counselor 113 Arkansas St, Eunice, LA 70535 2017-09-28
1053833897 Keyana Charlot Counselor 300 N Cane St, Eunice, LA 70535 2017-07-13
1861912818 Crystal Gail Marshall Case Manager/Care Coordinator 1331 E Maple Ave, Eunice, LA 70535 2017-06-21
1881124477 Lisa Thomas Counselor 711 E Laurel St Suite D, Eunice, LA 70535 2017-06-15
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1689116964 Linda Ford Clinical Nurse Specialist 11809 Highway 84 W, Jena, LA 71342-3703 2016-11-17
1427414549 Affinity Health Group, LLC Clinical Nurse Specialist 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 2016-01-05
1831513555 Charlene Jean Borne Clinical Nurse Specialist 70377 11th St, Covington, LA 70433-5394 2014-02-17
1891977369 True Care LLC Clinical Nurse Specialist 20959 Anderson Rd, Zachary, LA 70791-7915 2007-11-27
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1679922918 Jennifer Boudreaux Clinical Nurse Specialist 931 N Canal Blvd, Thibodaux, LA 70301-8095 2016-06-07
1487063590 William Boston Clinical Nurse Specialist 12880 Plank Rd, Baker, LA 70714-4909 2014-08-04
1851719652 Robreka King Clinical Nurse Specialist 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 2014-03-31
1861825929 Raven Corporation of New Orleans Clinical Nurse Specialist 7506 Jonlee Dr, New Orleans, LA 70128-1435 2013-08-13
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Competitor

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City EUNICE
Zip Code 70535

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Dataset Information

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.

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