Provider Demographics
NPI:1205229622
Name:KARE THERAPY SERVICES
Entity type:Organization
Organization Name:KARE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:225-677-8468
Mailing Address - Street 1:36401 MANCHAC CROSSING AVE
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3260
Mailing Address - Country:US
Mailing Address - Phone:225-677-8468
Mailing Address - Fax:
Practice Address - Street 1:36401 MANCHAC CROSSING AVE
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3260
Practice Address - Country:US
Practice Address - Phone:225-677-8468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.ZII008225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1023310331GROUP MEMBOtherI BILL UNDER ANOTHER GROUP FOR MEDICARE I RESIGN MY BENFITS TO THEM