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 |
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Address | 1200 S Acadian Thruway, Baton Rouge, Louisiana |
Phone Number | 2253434740 |
Fax Number | 2253434742 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR A |
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Authorized Official Name | Jackson Carter Alfreda |
Credentials | BA |
Telephone Number | 2253434740 |
NPI Number Detail
NPI Number | 1346409943 |
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Provider Enumeration Date | 2008-06-09 |
Last Updated Date | 2008-11-20 |
Provider Mailing Address Detail
Address | 1200 S Acadian Thruway |
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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 |
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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 | -- |
Post Comment/ Review Below
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.