LASTING IMPRESSION CARE, INC NPI 1003004441

Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

LASTING IMPRESSION CARE, INC

Lasting Impression Care, Inc is a community based residential treatment, mental retardation and/or developmental disabilities in Gretna, LA. Lasting Impression Care, Inc NPI is 1003004441. The provider's taxonomy code is 320900000X - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities. A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003004441
Provider Name: LASTING IMPRESSION CARE, INC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 10-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 10-11-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: MRS. TRU'IESHIA RANEE ANDERSON-MANARD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: DIRECTOR
Authorized Official Phone: (504) 227-8343


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1320900000X Additional informationCallout TooltipTaxonomy Code - 320900000X
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Residential Treatment FacilitiesCommunity Based Residential Treatment, Mental Retardation and/or Developmental DisabilitiesPCA 14002LAYes

Map Location


LASTING IMPRESSION CARE, INC address is 405 GRETNA BLVD SUITE 103C GRETNA, LA 70053 Get Directions