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Louisiana Community Care Inc

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Ball, LA

NPI 1245401082 · NPPES record last updated Mar 20, 2008

Key facts

NPI
1245401082
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
522 (LA)
Legal business name
LOUISIANA COMMUNITY CARE INC
Practice address
5803 Monroe Hwy
Ball, LA 71405-3362
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

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

National Provider Directory

Tax ID family
Louisiana Community Care Inc (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 522 LA Yes

Addresses

Primary practice location

5803 Monroe Hwy
Ball, LA 71405-3362

Mailing address

PO Box 710
Ball, LA 71405-0710
Phone (318) 640-2953

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 20, 2008.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1245401082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714050710",
            "telephone_number": "318-640-2953",
            "fax_number": "318-641-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 MONROE HWY",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714053362",
            "telephone_number": "318-640-2953",
            "fax_number": "318-641-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-640-2953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball, LA

All providers in Ball, LA · Intellectual Disabilities Intermediate Care Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.