SOUTHWEST LOUISIANA INDEPENDENCE CENTER (NPI# 1235265661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235265661 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST LOUISIANA INDEPENDENCE CENTER |
| Practice Address |
1202 Kirkman St Ste C Lake Charles LA 70601-5391 |
| Practice Telephone | 3374777194 |
| Practice Fax Number | 3774777194 |
| Mailing Telephone | 3374777194 |
| Mailing Fax Number | 3774777194 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MITCH GRANGER (EXECTUIVE DIRECTOR) |
| Authorized Official Telephone | 3374777194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 11089 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1966738 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740316694 | Southwest Louisiana Independence Center | Case Management | 1104 S 3rd St, Leesville, LA 71446-4902 | 2007-02-26 |
| 1174659098 | Southwest Louisiana Independence Center | Case Management | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2007-02-26 |
| 1477689313 | Southwest Louisiana Independence Center | Case Management | 850 Kaliste Saloom Rd Ste 118, Lafayette, LA 70508-4230 | 2007-02-26 |
| 1578742672 | Southwest Louisiana Independence Center | Case Management | 1104 S 3rd St, Leesville, LA 71446-4902 | 2007-10-25 |
| 1699961334 | Southwest Louisiana Independence Center | Case Management | 1104 S 3rd St, Leesville, LA 71446-4902 | 2007-09-17 |
| 1861688525 | Southwest Louisiana Independence Center | Case Management | 850 Kaliste Saloom Rd Ste 118, Lafayette, LA 70508-4230 | 2007-09-17 |
| 1144435983 | Southwest Louisiana Independence Center | Case Management | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2007-05-14 |
| 1619182458 | Southwest Louisiana Independence Center | Case Management | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2007-05-14 |
| 1760518195 | Southwest Louisiana Independence Center | Case Management | 1104 S 3rd St, Leesville, LA 71446-4902 | 2007-02-27 |
| 1144356577 | Southwest Louisiana Independence Center | Case Management | 850 Kaliste Saloom Rd Ste 118, Lafayette, LA 70508-4230 | 2007-02-27 |
| Street Address |
1202 KIRKMAN ST STE C |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174659098 | Southwest Louisiana Independence Center | Case Management | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2007-02-26 |
| 1255940771 | Bianca Jackson | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2020-07-30 |
| 1255976916 | Linda Mariela Hurtado Gonzalez | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-11-16 |
| 1366087389 | Jaida Zhane Johnson | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-11-13 |
| 1770126773 | Anita Dejean | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-10-22 |
| 1760025779 | Sheryl Lartigue | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-10-22 |
| 1831742287 | Carolina Felix | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-07-23 |
| 1649832171 | Shianne Nichole Fuslier | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-07-04 |
| 1629539747 | Renoda B Washington | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-03-29 |
| 1144780081 | Keith R Jones II | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658683 | Choices Coordinated Care Solutions, Inc. | Case Management | 1800 Ryan St Ste 104, Lake Charles, LA 70601-6078 | 2019-06-14 |
| 1245685528 | Share Care Usa | Case Management | 408 E Hale St, Lake Charles, LA 70601-8559 | 2016-04-25 |
| 1669608097 | Consumer Advocacy and Resource Coordination, Inc. | Case Management | 902 Canvasback Street, Lake Charles, LA 70615 | 2009-05-29 |
| 1053535260 | Medical Resources & Guidance | Case Management | 123 Williamsburg St, Lake Charles, LA 70605-5719 | 2007-04-12 |
| 1790814861 | Cadence of Acadiana, Inc. | Case Management | 1105 W Prien Lake Rd, Suite F, Lake Charles, LA 70601-8380 | 2007-03-05 |
| 1174659098 | Southwest Louisiana Independence Center | Case Management | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2007-02-26 |
| 1558431106 | Southwest Louisiana Aids Council | Case Management | 1715 Common St, Lake Charles, LA 70601-6135 | 2006-11-09 |
| 1811359987 | Michelle L Wall, LLC | Case Management | 1 Lakeshore Dr, Suite 1620, Lake Charles, LA 70629-0100 | 2016-03-28 |
| 1073973905 | Michelle L Wall, LLC | Case Management | 1 Lakeshore Dr, Suite 1620, Lake Charles, LA 70629-0100 | 2016-03-04 |
| 1619204575 | Columbus Medical Services | Case Management | 3501 5th Ave, Suite B1, Lake Charles, LA 70607-2155 | 2009-11-12 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on SOUTHWEST LOUISIANA INDEPENDENCE CENTER.
| 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.