Organization Active NPI

STC Addiction Wellness Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Baton Rouge, LA
National Provider Identifier
1093726978
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
203 Issued in LA
Legal business name
STC ADDICTION WELLNESS CENTER, INC.
Doing business as
St. Christophers
Practice address
150 Cora Dr
Baton Rouge, LA 70815-4201
Phone
(225) 387-1611
Fax
(225) 343-5300
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Angela N Badeaux
Title
Financial Office Manager
Phone
(225) 387-1611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X 203 LA Primary

Addresses

Primary practice location

150 Cora Dr
Baton Rouge, LA 70815-4201

Mailing address

150 Cora Dr
Baton Rouge, LA 70815-4201
Phone (225) 387-1611

Other practice location 1

235 Cora Dr
Baton Rouge, LA 70815-4204
Phone (225) 387-1611

Other names 1

  • St. Christophers Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2034805STC Addiction Wellness Center Inc235 Cora Drive, Baton Rouge, LA 70815Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
STC Addiction Wellness Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

235 Cora Dr
Baton Rouge, LA 70815
Phone (225) 387-1611

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1093726978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CORA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154201",
            "telephone_number": "225-387-1611",
            "fax_number": "225-343-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CORA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154201",
            "telephone_number": "225-387-1611",
            "fax_number": "225-343-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Cora Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708154204",
            "country_code": "US",
            "telephone_number": "225-387-1611",
            "fax_number": "225-343-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STC ADDICTION WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BADEAUX",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FINANCIAL OFFICE MANAGER",
        "authorized_official_telephone_number": "225-387-1611"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Christophers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Christophers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.