HOLY ANGELS RESIDENTIAL FACILITY NPI 1861747636

NPI Information

NPI: 1861747636
Provider Name: HOLY ANGELS RESIDENTIAL FACILITY

Doing Business As: SISTERS HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
10450 ELLERBE RD
SHREVEPORT, LA
ZIP 71106
Phone: (318) 797-8500
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HOLY ANGELS RESIDENTIAL FACILITY is an intermediate care facility mentally retarded in Shreveport, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HOLY ANGELS RESIDENTIAL FACILITY NPI is 1861747636. The provider is registered as an organization entity type.
The provider Is Doing Business As Sisters Home.

The provider's business location address is:

10450 ELLERBE RD
SHREVEPORT, LA
ZIP 71106-712
Phone: (318) 797-8500

The provider's authorized official is Christina Landry Horne .
The authorized official title is Director Of Finance and has the following contact phone number (318) 797-8500.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 5/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		6671	LOUISIANA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6671	OTHER	LOUISIANA	DHH STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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