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AUTHENTIC COMMUNITY LIVING INC. NPI 1689843435


NPI Information

NPI: 1689843435
Provider Name: AUTHENTIC COMMUNITY LIVING, INC.
Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
1799 STUMPF BLVD
BLDG.7 SUITE 1
TERRYTOWN, LA
ZIP 70056
Phone: (504) 368-4535
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AUTHENTIC COMMUNITY LIVING, INC. is a personal care attendant technician in Terrytown, LA. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards AUTHENTIC COMMUNITY LIVING, INC. NPI is 1689843435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1799 STUMPF BLVD
BLDG.7 SUITE 1
TERRYTOWN, LA
ZIP 70056-950
Phone: (504) 368-4535
Fax: (504) 368-4560

The provider's authorized official is Valerie Watson Dibia .
The authorized official title is Executive Director and has the following contact phone number (504) 368-4535.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747P1801XTechnicianPersonal Care Attendant9641LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11567337MEDICAIDLOUISIANA
21173410MEDICAIDLOUISIANA
31567345MEDICAIDLOUISIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.