Provider Demographics
NPI:1053535682
Name:FAMILY CARE INC.
Entity type:Organization
Organization Name:FAMILY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SALUS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-363-7449
Mailing Address - Street 1:3520 GENERAL DEGAULLE DR STE 4070
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-4025
Mailing Address - Country:US
Mailing Address - Phone:504-363-7449
Mailing Address - Fax:504-363-7077
Practice Address - Street 1:2401 WESTBEND PKWY STE 4070
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-2469
Practice Address - Country:US
Practice Address - Phone:504-363-7449
Practice Address - Fax:504-363-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAADC10116251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LABH0012253OtherLOUISIANA DEPT. OF HEALTH
LA1565199Medicaid