Hammond Developmental Center
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hammond, LA
NPI 1366567323 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366567323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- HAMMOND DEVELOPMENTAL CENTER
- Practice address
- 45439 Live Oak Drive
Hammond, LA 70401 - Phone
- (225) 567-3111
- Fax
- (225) 567-2017
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Kindred Hodge
- Title
- Administrator
- Phone
- (225) 567-3111
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Rene Drive Community Home
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | LA | Yes |
Addresses
Primary practice location
45439 Live Oak Drive
Hammond, LA 70401
Mailing address
45439 Live Oak Drive
Hammond, LA 70401
Phone (225) 567-3111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1712019 | Medicaid | LA |
Other providers in Hammond, LA
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- Hammond Dermatology Center, LLC
- Hammond Developmental Center
- Hammond Developmental Center
- Hammond Developmental Center
- Hammond Developmental Center
- Hammond Developmental Center
- Hammond Dialysis Clinic LLC
- Hammond Rehabilitation Hospital, LLC
- Hammond Strawberry Fields, Inc
All providers in Hammond, LA · Intellectual and/or Developmental Disabilities Residential Treatment 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 Aug 22, 2020. 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.