Jefferson Group Home in Alexandria - Intermediate Care Facility, Intellectual Disabilities
Jefferson Group Home - NPI 1821130717
Jefferson Group Home is a Intermediate Care Facility, Intellectual Disabilities in Alexandria, Louisiana. Jefferson Group Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Jefferson Group Home is 1821130717. The last update date is 2009-11-07.
Jefferson Group Home's current location address is 1109 Presidents Drive, Alexandria, Louisiana. You can contact this provider via phone number 3184732505 and fax number 3184732506. The mailing address for Jefferson Group Home is 1109 Presidents Drive, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Group Home |
|---|---|
| Address | 1109 Presidents Drive, Alexandria, Louisiana |
| Phone Number | 3184732505 |
| Fax Number | 3184732506 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bolton Bonnette Christina |
| Telephone Number | 3184451551 |
NPI Number Detail
| NPI Number | 1821130717 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2009-11-07 |
Provider Mailing Address Detail
| Address | 1109 Presidents Drive |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 71303 |
| Phone Number | 3184732505 |
| Fax Number | 3184732506 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 946 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1507211 | LA | UNISYS | |
| 19G574 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jefferson Group Home by the Centers for Medicare & Medicaid Services?
The Jefferson Group Home has been assigned the NPI (National Provider Identifier) 1821130717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jefferson Group Home is geographically located?
The Jefferson Group Home is physically situated at the following location: 1109 Presidents Drive, Alexandria, LA, 71303.
What is Jefferson Group Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jefferson Group Home is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
When was the Jefferson Group Home's 1821130717 issued?
The Jefferson Group Home's 1821130717 was issued on 2007-02-14.
As of what date were the details related to Jefferson Group Home most recently updated or revised?
The information pertaining to Jefferson Group Home, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-07.