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A1 CUSTOMIZED COMPANION SERVICES LLC.

Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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Contact Information

A1 CUSTOMIZED COMPANION SERVICES LLC.
2100 BELLE CHASSE HWY # C
GRETNA, LA  70053-6651
 Phone: 504-913-5452
 Fax: 504-367-6601
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

 251S00000X
Indicates primary specialty

NPI Profile & details for A1 CUSTOMIZED COMPANION SERVICES LLC.

NPI # 1669701058
LBN Legal business name A1 CUSTOMIZED COMPANION SERVICES LLC.
Authorized official VALIRE MELANCON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2009
Last updated 12/14/2009 - About 16 years ago
Identifiers
LA License # 15292
LA Medicaid 001231
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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