NPIMap

Organization Active NPI

Hammond Developmental Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hammond, LA
National Provider Identifier
1205953205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
PCA 9450 Issued in LA
Legal business name
HAMMOND DEVELOPMENTAL CENTER
Practice address
45439 Live Oak Drive
Hammond, LA 70401-9420
Phone
(225) 567-3111
Fax
(225) 567-2017
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kindred Hodge
Title
Administrator
Phone
(225) 567-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X PCA 9450 LA Primary

Addresses

Primary practice location

45439 Live Oak Drive
Hammond, LA 70401-9420

Mailing address

45439 Live Oak Drive
Hammond, LA 70401-9420
Phone (225) 567-3111

Other identifiers 1

IdentifierTypeStateIssuer
1143537MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Rene Drive Community Home12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205953205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45439 LIVE OAK DRIVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704019420",
            "telephone_number": "225-567-3111",
            "fax_number": "225-567-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45439 LIVE OAK DRIVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704019420",
            "telephone_number": "225-567-3111",
            "fax_number": "225-567-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "KINDRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-567-3111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "PCA 9450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143537",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.