Holy Angels Residential Facility in Shreveport - Intermediate Care Facility, Intellectual Disabilities
Holy Angels Residential Facility - NPI 1639345853
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 1639345853. 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 | 1639345853 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| 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 |
|---|---|---|---|
| 1167045 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Holy Angels Residential Facility by the Centers for Medicare & Medicaid Services?
The Holy Angels Residential Facility has been issued the NPI (National Provider Identifier) 1639345853. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Holy Angels Residential Facility is physically located?
The Holy Angels Residential Facility is situated at the following address: 10450 Ellerbe Rd, Shreveport, LA 711067712.
What is the area of specialization for Holy Angels Residential Facility, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Holy Angels Residential Facility is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639345853 to Holy Angels Residential Facility?
The Centers for Medicare & Medicaid Services originally issued the 1639345853 to Holy Angels Residential Facility on 2008-05-07.
As of what date were the Holy Angels Residential Facility's details last updated?
The information pertaining to the Holy Angels Residential Facility, including its address, specialty, and other details, was most recently updated on 2022-05-27.