Grant Community Home in Alexandria - Intermediate Care Facility, Intellectual Disabilities
Grant Community Home - NPI 1982862504
Grant Community Home is a Intermediate Care Facility, Intellectual Disabilities in Alexandria, Louisiana. Grant Community Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Grant Community Home is 1982862504. The last update date is 2009-11-05.
Grant Community Home's current location address is 1212 Wilshire Dr, Alexandria, Louisiana. You can contact this provider via phone number 3187675865 and fax number 3187675940. The mailing address for Grant Community Home is 1212 Wilshire Dr, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grant Community Home |
|---|---|
| Address | 1212 Wilshire Dr, Alexandria, Louisiana |
| Phone Number | 3187675865 |
| Fax Number | 3187675940 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bolton Christina |
| Telephone Number | 3184451551 |
NPI Number Detail
| NPI Number | 1982862504 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2009-11-05 |
Provider Mailing Address Detail
| Address | 1212 Wilshire Dr |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 713033140 |
| Phone Number | 3187675865 |
| Fax Number | 3187675940 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 1030 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1030 | LA | -- |
Post Comment/ Review Below
What is the Grant Community Home's 1982862504?
The Grant Community Home's NPI (National Provider Identifier) Number is 1982862504. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Grant Community Home's physical address?
The Grant Community Home is physically located at 1212 Wilshire Dr, in the city of Alexandria, LA, with the postal code 713033140.
What is Grant Community Home's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Grant Community Home is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did Grant Community Home receive its 1982862504 assignment from the Centers for Medicare & Medicaid Services?
The Grant Community Home was assigned its 1982862504 on 2008-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Grant Community Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Grant Community Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-05.
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