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CERTICARE,INC
NPI 1114126513
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ruston, LA

Active since July 16, 2007
413 S FARMERVILLE ST, RUSTON, LA 71270(318) 255-1077(318) 254-8250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Certicare,inc NPPES

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

CERTICARE,INC (NPI 1114126513) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ruston, Louisiana and active in the NPI registry since July 2007. The organization lists Michael Douglas, President, as its authorized official.

NPPES Registry Identity

NPI1114126513
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCERTICARE,INC
Location Address413 S FARMERVILLE STRuston, LA 71270-4654
Mailing Address413 S Farmerville StRuston, LA 71270-4654 · (318) 255-1077 · Fax (318) 254-8250
Phone(318) 255-1077
Fax(318) 254-8250
Organization SubpartNo
Authorized OfficialMichael DouglasPresident · (318) 255-1077
Enumeration DateJuly 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114126513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

413 S FARMERVILLE ST, Ruston, LA 71270
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Other Identifiers 1

Medicaid1123625LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLA JAMES NIMMERS
Counselor
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 828-3484
STEPHANIE BUNDLE
Social Worker
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (832) 928-6614
AALIYAH JONES
Case Manager/Care Coordinator
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 548-1463
MR. TNARRIO ELLIOTT
Case Manager/Care Coordinator
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 243-9338
CERTICAREINC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-1077
MELVINA FIELDS
Counselor (Mental Health)
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 548-1463
ANGELA HINES
Case Manager/Care Coordinator
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 548-1463
MARKIA DAIGS
Counselor
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 548-1463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Certicare,inc's NPI number?

The NPI number for Certicare,inc is 1114126513. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Certicare,inc located?

Certicare,inc is located at 413 S Farmerville St, Ruston, LA 71270. The listed phone number is (318) 255-1077.

What is Certicare,inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Certicare,inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.