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 1629294053
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 1629294053. 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 | Ryder Misty |
| Telephone Number | 3182194101 |
NPI Number Detail
| NPI Number | 1629294053 |
|---|---|
| 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 7097 |
|
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 |
|---|---|---|---|
| 1459577 | LA | -- |
Post Comment/ Review Below
What is the St. Genevive Health Care Services, Inc.'s unique identification number?
The St. Genevive Health Care Services, Inc. has been assigned the NPI (National Provider Identifier) Number 1629294053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where St. Genevive Health Care Services, Inc.'s facilities are geographically located?
The facilities of St. Genevive Health Care Services, Inc. are physically situated at the following location: 3003 Knight St, Shreveport, LA, 711052507.
What is the St. Genevive Health Care Services, Inc.'s specialty and taxonomy code?
The St. Genevive Health Care Services, Inc.'s specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date was the 1629294053 assigned to St. Genevive Health Care Services, Inc.?
The St. Genevive Health Care Services, Inc. was issued its 1629294053 on 2007-04-17, which is the date when this unique identifier was assigned 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.