PRIMETIME CHRONIC CARE MANAGEMENT LLC NPI 1821535360

NPI Information

  • NPI: 1821535360
  • Provider Name: PRIMETIME CHRONIC CARE MANAGEMENT, LLC
  • Classification: Prevention Professional - 405300000X
  • Entity Type: Organization
  • Address: 117 AUTUMN CREEK DR
    MADISONVILLE, LA
    ZIP 70447
  • Phone: (901) 626-2129

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NPI Details

PRIMETIME CHRONIC CARE MANAGEMENT, LLC is a prevention professional in Madisonville, LA. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. PRIMETIME CHRONIC CARE MANAGEMENT, LLC NPI is 1821535360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

117 AUTUMN CREEK DR
MADISONVILLE, LA
ZIP 70447-603
Phone: (901) 626-2129

The provider's authorized official is Atnena Luster .
The authorized official title is Managing Provider and has the following contact phone number (901) 288-5200.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 1/23/2017.

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
1405300000XPrevention ProfessionalYes

What is NPI?

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This page was last updated on: 11/21/2025

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