MRS. MYTOSHA MONIQUE DICKERSON CBS
NPI 1023742707
In Home Supportive Care in Baton Rouge, LA

Active since July 10, 2022
9082 WINDING LAKE AVE, BATON ROUGE, LA 70810(504) 875-6174 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2024, Jul 10, 2022 (2 updates tracked since 2022).

About Mrs. Mytosha Monique Dickerson Cbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MYTOSHA MONIQUE DICKERSON CBS (NPI 1023742707) is an individual in home supportive care provider in Baton Rouge, Louisiana and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1023742707
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameMRS. MYTOSHA MONIQUE DICKERSONCredential: CBS
Location Address9082 WINDING LAKE AVEBaton Rouge, LA 70810-0367
Mailing Address9082 Winding Lake AveBaton Rouge, LA 70810-0367 · (504) 875-6174
Sole ProprietorYes
Enumeration DateJuly 10, 2022
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2022
NPI 1023742707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

9082 WINDING LAKE AVE, Baton Rouge, LA 70810

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023742707, enumerated as an "individual" on July 10, 2022.

The provider is located at 9082 WINDING LAKE AVE BATON ROUGE, LA 70810 and the phone number is (504) 875-6174.

In Home Supportive Care with taxonomy code 253Z00000X.