Louisiana Community Care, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Ball, LA
NPI 1154592996 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1154592996
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 5373 (LA)
- Legal business name
- LOUISIANA COMMUNITY CARE, INC.
- Practice address
- 5803 Monroe Hwy
Ball, LA 71405 - Phone
- (318) 640-2953
- Fax
- (318) 641-1976
- NPI assigned
- Mar 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Albert E Blackman
- Title
- Administrator
- Phone
- (318) 640-2953
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Louisiana Community Care Inc
Locations
5803 Monroe Hwy
Ball, LA 71405
Phone (318) 640-2953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 5373 | LA | |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 5373 | LA | Yes |
Addresses
Primary practice location
5803 Monroe Hwy
Ball, LA 71405
Mailing address
PO Box 710
Ball, LA 71405-0710
Phone (318) 640-2953
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1910023 | Medicaid | LA |
Other providers in Ball, LA
- Louisiana Community Care Inc
- Louisiana Community Care Inc
- Louisiana Community Care Inc.
- Louisiana Community Care, Inc
- Louisiana Community Care, Inc
- Louisiana Communtiy Care Inc
- Louisiana Mobility of Central la, Inc
- Mary Leneil Mercer
- National Birth Centers, Inc.
- L. Stephen Ortego
All providers in Ball, 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 Sep 12, 2011. 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.