LATASSIA PROVITT


Address: 115 Rue Felicite, Lafayette, LA 70507-5647
Phone: 3373266562

LATASSIA PROVITT (NPI# 1447790951) 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) 1447790951
Entity Type Individual
Full Name LATASSIA PROVITT
Practice Address 115 Rue Felicite
Lafayette
LA 70507-5647
Practice Telephone 3373266562
Mailing Telephone 3373266562
Enumeration Date 2017-03-02
Last Update Date 2017-03-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3747P1801X Technician
Specialization: Personal Care Attendant
3747P1801X LA Nursing Service Related Providers
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers
N 374U00000X Home Health Aide Nursing Service Related Providers

Office Location

Street Address 115 RUE FELICITE
City LAFAYETTE
State LA
Zip Code 70507-5647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346780871 Niyjee Daniels Technician 115 Rue Felicite, Lafayette, LA 70507-5647 2017-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043724107 Danielle Bias Counselor 106 Smalley Rd, Lafayette, LA 70507 2017-11-28
1720505076 Amy C Rochon Counselor 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 2017-08-28
1174045504 Mia Collins Case Manager/Care Coordinator 315 Amesbury Dr Apt 357, Lafayette, LA 70507 2017-07-07
1942739792 Precious Charles Counselor 200 Buttercup Dr Apt 613, Lafayette, LA 70507 2017-06-06
1346633831 Minute Med Clinic - Pont De Mouton LLC Clinic/Center 104 Banister Court, Suite 1c, Lafayette, LA 70507 2015-03-09
1134559578 Britt Elliott Martin Pharmacist 920 West Gloria Switch Road, Lafayette, LA 70507 2013-11-21
1801130877 Barney Joseph Fusilier Jr. Pharmacist 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 2012-11-15
1508140773 Joseph Kenneth Vizena Pharmacist 3754 Moss Street, Lafayette, LA 70507 2011-10-05
1629177399 Kevin Lyle Francois Pharmacist 3803-f Moss St, Lafayette, LA 70507 2006-09-21
1821024563 Vermilion Hospital LLC Psychiatric Hospital 2520 N. University Ave, Lafayette, LA 70507 2006-06-24
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134647324 Vees Sitters Services Privat Duty Care LLC Technician 401 Audubon Blvd Ste 207b, Lafayette, LA 70503 2017-09-07
1255853818 Vanessa Landry Technician 401 Audubon Blvd. Ste 207-b, Lafayette, LA 70503 2017-07-14
1760922298 Latoya Daniels Technician 506 Acorn Dr, Lafayette, LA 70507-4302 2017-03-02
1326187287 Alternative Home Care Specialists, Inc. Technician 1220 Eraste Landry Rd, Lafayette, LA 70506-3046 2007-02-06
1073136768 Tracey St. Julien Technician 515 S College Rd Ste 100, Lafayette, LA 70503-3346 2020-05-28
1700412194 Ebony Jade Lasalle Technician 515 S College Rd Ste 100, Lafayette, LA 70503-3346 2020-03-17
1740816396 Joseph Bradley Woods Technician 515 S College Rd Ste 100, Lafayette, LA 70503-3346 2020-03-16
1417583063 Stephaine Babineaux Technician 515 S College Rd Ste 100, Lafayette, LA 70503-3346 2020-03-16
1285270546 Monica Batiste Technician 515 S College Rd Ste 100, Lafayette, LA 70503-3346 2019-11-21
1851935464 Sherry Nix Technician 515 S College Rd Ste 100, Lafayette, LA 70503-3346 2019-11-06
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Competitor

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City LAFAYETTE
Zip Code 70507

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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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