Provider Demographics
NPI:1497954523
Name:THOMPSON BROS INVESTMENTS LLC
Entity Type:Organization
Organization Name:THOMPSON BROS INVESTMENTS LLC
Other - Org Name:ALTERNATIVE CONCEPT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-640-7422
Mailing Address - Street 1:4811 MONROE HWY
Mailing Address - Street 2:
Mailing Address - City:BALL
Mailing Address - State:LA
Mailing Address - Zip Code:71405-3945
Mailing Address - Country:US
Mailing Address - Phone:318-640-7422
Mailing Address - Fax:318-640-7472
Practice Address - Street 1:4811 MONROE HWY
Practice Address - Street 2:
Practice Address - City:BALL
Practice Address - State:LA
Practice Address - Zip Code:71405-3945
Practice Address - Country:US
Practice Address - Phone:318-640-7422
Practice Address - Fax:318-640-7472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA112723747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1467995Medicaid