OrganizationActive
Certicare,inc
NPI 1831398239 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ruston, LA
Provider details
- NPI number
- 1831398239
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Douglas, President(318) 255-1077
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 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
413 S Farmerville St
Ruston, LA 71270-4654
Phone: (318) 255-1077
Fax: (318) 254-8250
Street-level locationGet directions
Mailing address
3018 Old Minden Rd
Bossier City, LA 71112-2446
Registry dates
- Enumerated
- 2007-07-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.