Provider Demographics
NPI:1891817557
Name:CARE AND DEVELOPMENT CENTER, INC.
Entity Type:Organization
Organization Name:CARE AND DEVELOPMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:III
Authorized Official - Credentials:MASTERS DEGREE
Authorized Official - Phone:504-833-8383
Mailing Address - Street 1:827 CAUSEWAY BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2738
Mailing Address - Country:US
Mailing Address - Phone:504-833-8383
Mailing Address - Fax:504-833-0983
Practice Address - Street 1:1919 SAINT CLAUDE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-1541
Practice Address - Country:US
Practice Address - Phone:504-944-7400
Practice Address - Fax:504-944-8583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1553913251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1460044Medicaid
LA1942197Medicaid
LA1534366Medicaid
LA1553913Medicaid