Holy Angels Residential Facility in Shreveport - Intermediate Care Facility, Mental Illness
Holy Angels Residential Facility - NPI 1619196383
Holy Angels Residential Facility is a Intermediate Care Facility, Mental Illness in Shreveport, Louisiana. Holy Angels Residential Facility practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Holy Angels Residential Facility is 1619196383. The last update date is 2022-05-27.
Holy Angels Residential Facility's current location address is 10450 Ellerbe Rd, Shreveport, Louisiana. You can contact this provider via phone number 3187978500 and fax number 3187980159. The mailing address for Holy Angels Residential Facility is 10450 Ellerbe Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holy Angels Residential Facility |
|---|---|
| Address | 10450 Ellerbe Rd, Shreveport, Louisiana |
| Phone Number | 3187978500 |
| Fax Number | 3187980159 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Horne Landry Christina |
| Credentials | CPA |
| Telephone Number | 3187978500 |
NPI Number Detail
| NPI Number | 1619196383 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2022-05-27 |
Provider Mailing Address Detail
| Address | 10450 Ellerbe Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711067712 |
| Phone Number | 3187978500 |
| Fax Number | 3187980159 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 929 |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1711187 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Holy Angels Residential Facility by the Centers for Medicare & Medicaid Services?
The Holy Angels Residential Facility has been assigned the NPI (National Provider Identifier) 1619196383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Holy Angels Residential Facility's physical address?
The Holy Angels Residential Facility is physically located at 10450 Ellerbe Rd, in the city of Shreveport, LA, with the postal code 711067712.
What is Holy Angels Residential Facility's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Holy Angels Residential Facility is Intermediate Care Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 310500000X.
When did Holy Angels Residential Facility receive its 1619196383 assignment?
The Holy Angels Residential Facility was assigned its 1619196383 on 2007-04-24, which is the date when this unique identifier was issued to the organization.
When was the information regarding Holy Angels Residential Facility most recently updated?
The details pertaining to the Holy Angels Residential Facility, including its address, specialty, and other relevant information, were last refreshed on 2022-05-27.