Provider Demographics
NPI:1497472914
Name:CAPITAL REGIONS CARE INC.
Entity Type:Organization
Organization Name:CAPITAL REGIONS CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:225-444-5611
Mailing Address - Street 1:11017 PERKINS RD STE B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-3007
Mailing Address - Country:US
Mailing Address - Phone:225-444-5611
Mailing Address - Fax:225-444-5788
Practice Address - Street 1:11017 PERKINS RD STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-3007
Practice Address - Country:US
Practice Address - Phone:225-444-5611
Practice Address - Fax:225-444-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAHC0012723Medicaid