Calcasieu Multi-Handicapped Center, LLC
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Vinton, LA
NPI 1124010236 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124010236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 755 (LA)
- Legal business name
- CALCASIEU MULTI-HANDICAPPED CENTER, LLC
- Practice address
- 1223 Fancher St
Vinton, LA 70668-4319 - Phone
- (337) 589-9386
- NPI assigned
- Aug 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Fellows
- Title
- Ceo
- Phone
- (816) 444-0900
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Calcasieu Group Home I
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 755 | LA | Yes |
Addresses
Primary practice location
1223 Fancher St
Vinton, LA 70668-4319
Mailing address
1223 Fancher St
Vinton, LA 70668-4319
Phone (337) 589-9386
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1713091 | Medicaid | LA |
Other names
- CALCASIEU GROUP HOME V
Other providers in Vinton, LA
- Breaux'S Pharmacy, LLC.
- Shirley Ann Burns
- Calcasieu Cameron Hospital Service District
- Calcasieu Multi Handicapped Center
- Calcasieu Multi-Handicapped
- Calcasieu Multi-Handicapped Center, LLC
- Calcasieu Multi-Handicapped Center, LLC
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries, Inc.
- Evergreen Presbyterian Ministries, Inc.
All providers in Vinton, LA · Intellectual Disabilities Intermediate Care Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.