Holy Angels Residential Facility in Shreveport - Intermediate Care Facility, Intellectual Disabilities
Holy Angels Residential Facility - NPI 1437378106
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 1437378106. 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 | 1437378106 |
|---|---|
| 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 |
|---|---|---|---|
| 1346469012 | LA | -- | |
| 1225256035 | LA | -- | |
| 1528287299 | LA | -- | |
| 1770750747 | LA | -- | |
| 1992924658 | LA | -- | |
| 1316165418 | LA | -- | |
| 1497173090 | LA | -- | |
| 1578014387 | LA | -- | |
| 1861747636 | LA | -- | |
| 1619196383 | LA | -- |
Post Comment/ Review Below
What is the Holy Angels Residential Facility's unique identification number?
The Holy Angels Residential Facility has been assigned the NPI (National Provider Identifier) Number 1437378106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Holy Angels Residential Facility?
The Holy Angels Residential Facility is physically situated at 10450 Ellerbe Rd, in the city of Shreveport, state of LA, with the postal code 711067712.
What is Holy Angels Residential Facility's area of expertise and its corresponding taxonomy classification?
The Holy Angels Residential Facility's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Holy Angels Residential Facility receive its 1437378106 assignment from the Centers for Medicare & Medicaid Services?
The Holy Angels Residential Facility was assigned its 1437378106 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 2022-05-27.
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