OrganizationActive
Lasting Impression Care, Inc
NPI 1003004441 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gretna, LA
Provider details
- NPI number
- 1003004441
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tru'Ieshia Anderson-Manard, Director(504) 227-8343
- License
- PCA 14002 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense PCA 14002 (LA)
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 Gretna Blvd
Suite 103c
Gretna, LA 70053-4900
Phone: (504) 227-8343
Fax: (504) 227-8540
Street-level locationGet directions
Mailing address
405 Gretna Blvd
Gretna, LA 70053-4900
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2007-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.