Holy Angels Residential Facility in Shreveport - Intermediate Care Facility, Mental Illness
Holy Angels Residential Facility - NPI 1982823654
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 1982823654. 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 | 1982823654 |
|---|---|
| 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 | 930 |
|
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 |
|---|---|---|---|
| 1711225 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Holy Angels Residential Facility by the Centers for Medicare & Medicaid Services (CMS)?
The Holy Angels Residential Facility has been assigned the NPI (National Provider Identifier) 1982823654. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Holy Angels Residential Facility is physically located?
The Holy Angels Residential Facility is physically situated at the following address: 10450 Ellerbe Rd, Shreveport, LA, 711067712.
What is Holy Angels Residential Facility's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Holy Angels Residential Facility is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 310500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982823654 to Holy Angels Residential Facility?
The Centers for Medicare & Medicaid Services originally issued the 1982823654 to Holy Angels Residential Facility on 2007-04-24.
As of what date were the details related to Holy Angels Residential Facility most recently updated or revised?
The information pertaining to Holy Angels Residential Facility, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-27.
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