Holy Angels Residential Facility in Shreveport - Intermediate Care Facility, Intellectual Disabilities
Holy Angels Residential Facility - NPI 1164641833
Holy Angels Residential Facility is a Intermediate Care Facility, Intellectual Disabilities in Shreveport, Louisiana. Holy Angels Residential Facility practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Holy Angels Residential Facility is 1164641833. 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 L Chris |
| Credentials | CPA |
| Telephone Number | 3187978500 |
NPI Number Detail
| NPI Number | 1164641833 |
|---|---|
| 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, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1725021 | 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) 1164641833 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 Holy Angels Residential Facility is geographically located?
The Holy Angels Residential Facility is physically situated at the following location: 10450 Ellerbe Rd, Shreveport, LA, 711067712.
What is Holy Angels Residential Facility's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Holy Angels Residential Facility is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date did Holy Angels Residential Facility receive its 1164641833 assignment from the Centers for Medicare & Medicaid Services?
The Holy Angels Residential Facility was assigned its 1164641833 on 2007-04-24, 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 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.