Provider Demographics
NPI:1912366311
Name:WE CARE MINISTRIES OUTREACH PROGRAM
Entity Type:Organization
Organization Name:WE CARE MINISTRIES OUTREACH PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-236-2000
Mailing Address - Street 1:1746 TEXAS ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-3429
Mailing Address - Country:US
Mailing Address - Phone:318-352-5961
Mailing Address - Fax:318-352-5965
Practice Address - Street 1:1754 TEXAS ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-3429
Practice Address - Country:US
Practice Address - Phone:318-352-5961
Practice Address - Fax:318-352-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
LA2203782331253Z00000X
LA2203782353253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1544795Medicaid
LA15544809Medicaid