MCCORKLE SUNRISE PCA/SIL,LLC


Address: 7262 Poinsettia Dr, Baton Rouge, LA 70812-1861
Phone: 2252886931

MCCORKLE SUNRISE PCA/SIL,LLC (NPI# 1326298258) 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) 1326298258
Entity Type Organization
Organization Name MCCORKLE SUNRISE PCA/SIL,LLC
Other Organization Name MCCORKLE SUNRISE,LLC
Practice Address 7262 Poinsettia Dr
Baton Rouge
LA 70812-1861
Mailing Address 2036 Wooddale Blvd
Suite M
Baton Rouge
LA 70806-1518
Practice Telephone 2252886931
Practice Fax Number 2259352209
Mailing Telephone 2259352208
Mailing Fax Number 2259352209
Enumeration Date 2008-09-29
Last Update Date 2008-09-29
Authorized Official Name PATRICIA ANN MCCORKLE (GENERAL MANAGER /OWNER)
Authorized Official Telephone 2259352208
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1126420 05

Other Provider/Organization Names

Other Name Type Code
McCorkle Sunrise,LLC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609038850 Mccorkle Sunrise PCa/sil,llc Chore Provider 7262 Poinsettia Drive, Baton Rouge, LA 70812 2008-06-30
1548410426 Mccorkle Sunrise PCa/sil,llc Home Health 7262 Poinsettia Dr, Baton Rouge, LA 70812-1861 2008-09-26

Office Location

Street Address 7262 POINSETTIA DR
City BATON ROUGE
State LA
Zip Code 70812-1861

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568624757 Pateicia Ann Mccorkle Home Health 7262 Poinsettia Dr, Baton Rouge, LA 70812-1861 2008-06-28
1548410426 Mccorkle Sunrise PCa/sil,llc Home Health 7262 Poinsettia Dr, Baton Rouge, LA 70812-1861 2008-09-26

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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Competitor

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City BATON ROUGE
Zip Code 70812

Improve Information

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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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