Holy Angels Residential Facility in Shreveport - Intermediate Care Facility, Intellectual Disabilities
Holy Angels Residential Facility - NPI 1346469012
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 1346469012. The last update date is 2022-06-28.
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 |
| Telephone Number | 3187978500 |
NPI Number Detail
| NPI Number | 1346469012 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2022-06-28 |
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 |
|---|---|---|---|
| 1184843849 | LA | -- | |
| 1346469012 | LA | -- | |
| 1861747636 | LA | -- | |
| 1164641833 | LA | -- | |
| 1982823654 | LA | -- | |
| 1225256035 | LA | -- | |
| 1437378106 | LA | -- | |
| 1992924658 | LA | -- | |
| 1073732749 | LA | -- | |
| 1528287299 | LA | -- |
Post Comment/ Review Below
What is the Holy Angels Residential Facility's 1346469012?
The Holy Angels Residential Facility's NPI (National Provider Identifier) Number is 1346469012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (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 specialized field of practice, and what is the corresponding taxonomy classification code?
The Holy Angels Residential Facility's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Holy Angels Residential Facility receive the assignment of its 1346469012 from the Centers for Medicare & Medicaid Services?
The Holy Angels Residential Facility was issued its 1346469012 by the Centers for Medicare & Medicaid Services 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 2022-06-28.