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CERTICAREINC
NPI 1205995792
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ruston, LA

Active since December 08, 2006
413 S FARMERVILLE ST, RUSTON, LA 71270(318) 255-1077 Get Directions Write a Review

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

About Certicareinc NPPES

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

CERTICAREINC (NPI 1205995792) 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 December 2006. The organization lists Michael Dwaine Douglas, Presiden, as its authorized official.

NPPES Registry Identity

NPI1205995792
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCERTICAREINC
Location Address413 S FARMERVILLE STRuston, LA 71270-4654
Mailing Address413 S Farmerville StRuston, LA 71270-4654
Phone(318) 255-1077
Organization SubpartNo
Authorized OfficialMichael Dwaine DouglasPresiden · (318) 255-1077
Enumeration DateDecember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205995792 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 6

Medicaid1773662LA
Medicaid1462870LA
Medicaid1773212LA
Medicaid1123609LA
Medicaid1123625LA
Medicaid1773620LA

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
CERTICARE,INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-1077
MR. TNARRIO ELLIOTT
Case Manager/Care Coordinator
413 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 243-9338
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 Certicareinc's NPI number?

The NPI number for Certicareinc is 1205995792. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Certicareinc located?

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

What is Certicareinc'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 Certicareinc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.