Provider Demographics
NPI:1326190695
Name:ADVANCED SITTING SOLUTIONS
Entity Type:Organization
Organization Name:ADVANCED SITTING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SCHANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-649-8846
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:CLARKS
Mailing Address - State:LA
Mailing Address - Zip Code:71415-0069
Mailing Address - Country:US
Mailing Address - Phone:318-649-8846
Mailing Address - Fax:
Practice Address - Street 1:405 WALL STREET
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:LA
Practice Address - Zip Code:71418
Practice Address - Country:US
Practice Address - Phone:318-649-8846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6690372600000X
LA11225372600000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1467901Medicaid
LA1469823Medicaid
LA1362662Medicaid