Provider Demographics
NPI:1215987441
Name:CORRECT CARE, INC.
Entity type:Organization
Organization Name:CORRECT CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:DEASE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:985-249-5600
Mailing Address - Street 1:229 SAINT JOHN LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-3276
Mailing Address - Country:US
Mailing Address - Phone:985-773-1847
Mailing Address - Fax:985-249-5618
Practice Address - Street 1:229 SAINT JOHN LN
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-773-1847
Practice Address - Fax:985-249-5618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR186172002Medicaid
AR155326002Medicaid
LA1443301Medicaid
AL529914230Medicaid
LA5CK15Medicare ID - Type Unspecified
AR155326002Medicaid
AL102G702729Medicare PIN