NPIMap

Organization Active NPI

Westside Habilitation Center

Doing business as Harrison Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Alexandria, LA
National Provider Identifier
1144491960
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
19G626 Issued in LA
Legal business name
WESTSIDE HABILITATION CENTER
Doing business as
Harrison Group Home
Practice address
5708 North Dr
Alexandria, LA 71301-2542
Phone
(318) 442-6540
Fax
(318) 442-6541
NPI assigned
Mar 19, 2008
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTSIDE HABILITATION CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Ms. Christina Bonnette Bolton
Title
Administrator
Phone
(318) 445-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 19G626 LA Primary

Addresses

Primary practice location

5708 North Dr
Alexandria, LA 71301-2542

Mailing address

PO Box 7917
Alexandria, LA 71306-0917
Phone (318) 445-1551

Other identifiers 1

IdentifierTypeStateIssuer
19G626MedicaidLA

Other names 1

  • Harrison Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Taft Community Home28 organizations share this tax ID, including this one
Part of
Taft Community Home

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1144491960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7917",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713060917",
            "telephone_number": "318-445-1551",
            "fax_number": "318-445-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 NORTH DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012542",
            "telephone_number": "318-442-6540",
            "fax_number": "318-442-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE HABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE HABILITATION CENTER, INC.",
        "enumeration_date": "2008-03-19",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "BONNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-445-1551",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "19G626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19G626",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.