NPIMap

Organization Active NPI

St. Mary's Residential Community and Services

  • Intellectual Disabilities Intermediate Care Facility
  • Boyce, LA
National Provider Identifier
1174136535
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Practice address
1903 Huie Dellmon Ave
Boyce, LA 71409-9329
Phone
(318) 445-6443
NPI assigned
Aug 26, 2020
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Khristy Ellis
Title
Controller
Phone
(318) 445-6443

Specialties & licenses 1

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

Addresses

Primary practice location

1903 Huie Dellmon Ave
Boyce, LA 71409-9329

Mailing address

PO Box 7768
Alexandria, LA 71306-0768
Phone (318) 445-6443

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Residential Community and Services27 organizations share this tax ID, including this one
Part of
St Mary's Residential Community and Services

Other organizations with this tax ID 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1174136535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7768",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713060768",
            "telephone_number": "318-445-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 HUIE DELLMON AVE",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714099329",
            "telephone_number": "318-445-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KHRISTY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "318-445-6443"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyce, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.