Havens Gateway Personal Care Facility Inc in Baton Rouge - Respite Care, Intellectual And/or Developmental Disabilities

Havens Gateway Personal Care Facility Inc - NPI 1346409943

Havens Gateway Personal Care Facility Inc is a Respite Care, Intellectual And/or Developmental Disabilities in Baton Rouge, Louisiana. Havens Gateway Personal Care Facility Inc practices all healthcare services and medical treatments related to Respite Care, Intellectual And/or Developmental Disabilities. The NPI Number for Havens Gateway Personal Care Facility Inc is 1346409943. The last update date is 2008-11-20.

Havens Gateway Personal Care Facility Inc's current location address is 1200 S Acadian Thruway, Baton Rouge, Louisiana. You can contact this provider via phone number 2253434740 and fax number 2253434742. The mailing address for Havens Gateway Personal Care Facility Inc is 1200 S Acadian Thruway, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Havens Gateway Personal Care Facility Inc
Address 1200 S Acadian Thruway, Baton Rouge, Louisiana
Phone Number 2253434740
Fax Number 2253434742
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR A
Authorized Official Name Jackson Carter Alfreda
Credentials BA
Telephone Number 2253434740

NPI Number Detail

NPI Number 1346409943
Provider Enumeration Date 2008-06-09
Last Updated Date 2008-11-20

Provider Mailing Address Detail

Address 1200 S Acadian Thruway
City Baton Rouge
State Louisiana (LA)
Post Code 708066900
Phone Number 2253434740
Fax Number 2253434742

Provider's Primary Taxonomy Detail

Speciality Respite Care, Intellectual And/or Developmental Disabilities
Taxonomy 385Hr2060X
Licence No RC 13015
Definition:
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1072583 LA --
RC 13015 LA --

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FAQs about Havens Gateway Personal Care Facility Inc

What is the unique identification code assigned to Havens Gateway Personal Care Facility Inc by the Centers for Medicare & Medicaid Services?

The Havens Gateway Personal Care Facility Inc has been issued the NPI (National Provider Identifier) 1346409943. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Havens Gateway Personal Care Facility Inc located?

The Havens Gateway Personal Care Facility Inc is located at 1200 S Acadian Thruway, Baton Rouge, LA 708066900.

What is Havens Gateway Personal Care Facility Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Havens Gateway Personal Care Facility Inc is Respite Care, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 385Hr2060X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346409943 to Havens Gateway Personal Care Facility Inc?

The Centers for Medicare & Medicaid Services originally issued the 1346409943 to Havens Gateway Personal Care Facility Inc on 2008-06-09.

As of what date was the information regarding Havens Gateway Personal Care Facility Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Havens Gateway Personal Care Facility Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-20.

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