NPIMap

Organization Active NPI

Louise S Davis Residential Facilities, LLC

Doing business as Lobdell Community Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Zachary, LA
National Provider Identifier
1083865000
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
1041 Issued in LA
Legal business name
LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC
Doing business as
Lobdell Community Home
Practice address
10015 Greenwell Springs-Port Hudson Rd
Zachary, LA 70791
Phone
(225) 654-8344
Fax
(225) 654-4240
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kendall A Broussard
Title
Managing Member
Phone
(337) 439-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1041 LA Primary

Addresses

Primary practice location

10015 Greenwell Springs-Port Hudson Rd
Zachary, LA 70791

Mailing address

10015 Greenwell Springs-Port Hudson Rd
Zachary, LA 70791
Phone (225) 654-8344

Other names 1

  • LOBDELL COMMUNITY HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Louise S Davis Residential Facilities LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10015 Greenwell Springs P H Rd
Zachary, LA 70791
Phone (225) 654-8344

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1083865000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 GREENWELL SPRINGS-PORT HUDSON RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-654-8344",
            "fax_number": "225-654-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 GREENWELL SPRINGS-PORT HUDSON RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-654-8344",
            "fax_number": "225-654-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-439-6600"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOBDELL COMMUNITY HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.