Provider Demographics
NPI:1972887974
Name:ALL OUT COMMUNITY CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ALL OUT COMMUNITY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-227-2468
Mailing Address - Street 1:8562 JEFFERSON HWY STE A&B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2022
Mailing Address - Country:US
Mailing Address - Phone:225-227-2468
Mailing Address - Fax:
Practice Address - Street 1:8562 JEFFERSON HWY
Practice Address - Street 2:SUITE A & B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-4353
Practice Address - Country:US
Practice Address - Phone:225-227-2468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-09
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
LA10136662#HHH62251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management