CEREBRAL PALSY ASSOCIATION OF G.B.R. INC. NPI 1144224031

NPI Information

NPI: 1144224031
Provider Name: CEREBRAL PALSY ASSOCIATION OF G.B.R., INC.
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
Doing Business As: MCMAINS CHILDREN'S DEVELOPMENTAL CENTER
Address: 1805 COLLEGE DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 923-3420

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NPI Details

CEREBRAL PALSY ASSOCIATION OF G.B.R., INC. is a multi-specialty clinic center in Baton Rouge, LA. CEREBRAL PALSY ASSOCIATION OF G.B.R., INC. NPI is 1144224031. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcmains Children's Developmental Center.

The provider's business location address is:

1805 COLLEGE DR
BATON ROUGE, LA
ZIP 70808-919
Phone: (225) 923-3420
Fax: (225) 922-9316

The provider's authorized official is Janet C. Ketcham .
The authorized official title is Executive Director and has the following contact phone number (225) 923-3420.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1930423	MEDICAID	LOUISIANA
2	02587	OTHER	LOUISIANA	BLUE CROSS PROVIDER
3	1394149	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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