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CERTICARE, INC
NPI 1962697375
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ruston, LA

Active since September 10, 2007
413 S FARMERVILLE ST, RUSTON, LA 71270(318) 255-1077(318) 254-8250 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Certicare, Inc NPPES

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

CERTICARE, INC (NPI 1962697375) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Ruston, Louisiana and active in the NPI registry since September 2007. The organization lists Michael Douglas, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1962697375
Entity TypeOrganization
Primary Taxonomy320600000X
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/ceo · (318) 255-1077
Enumeration DateSeptember 10, 2007
✔ NPI 1962697375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
413 S FARMERVILLE ST, Ruston, LA 71270
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Other Identifiers 1

Medicaid1123609LA

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
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

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 1962697375. It was assigned to this organization in the NPPES registry on September 10, 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 Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Certicare, Inc was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.