St. Genevive Health Care Services, Inc. in Shreveport - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

St. Genevive Health Care Services, Inc. - NPI 1194941518

St. Genevive Health Care Services, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Shreveport, Louisiana. St. Genevive Health Care Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for St. Genevive Health Care Services, Inc. is 1194941518. The last update date is 2020-08-22.

St. Genevive Health Care Services, Inc.'s current location address is 3003 Knight St, Shreveport, Louisiana. You can contact this provider via phone number 3182194101. The mailing address for St. Genevive Health Care Services, Inc. is 3003 Knight St, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization St. Genevive Health Care Services, Inc.
Address 3003 Knight St, Shreveport, Louisiana
Phone Number 3182194101
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Graham Tina
Telephone Number 3182194101

NPI Number Detail

NPI Number 1194941518
Provider Enumeration Date 2007-04-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3003 Knight St
City Shreveport
State Louisiana (LA)
Post Code 711052507
Phone Number 3182194101
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No PCA 11980
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1466808 LA --

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FAQs about St. Genevive Health Care Services, Inc.

What is the unique identifier code issued to St. Genevive Health Care Services, Inc. by the Centers for Medicare & Medicaid Services?

The St. Genevive Health Care Services, Inc. has been assigned the NPI (National Provider Identifier) 1194941518. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the St. Genevive Health Care Services, Inc. located?

The St. Genevive Health Care Services, Inc. is located at 3003 Knight St, Shreveport, LA 711052507.

What is St. Genevive Health Care Services, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for St. Genevive Health Care Services, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.

On what date did St. Genevive Health Care Services, Inc. receive its 1194941518 assignment from the Centers for Medicare & Medicaid Services?

The St. Genevive Health Care Services, Inc. was assigned its 1194941518 on 2007-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the St. Genevive Health Care Services, Inc.'s information last updated?

The St. Genevive Health Care Services, Inc.'s information was last updated on 2020-08-22.

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