NPIMap

Organization Active NPI

Holy Angels Residential Facility

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shreveport, LA
National Provider Identifier
1477633014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
124 Issued in LA
Legal business name
HOLY ANGELS RESIDENTIAL FACILITY
Practice address
10450 Ellerbe Rd
Shreveport, LA 71106-7712
Phone
(318) 797-8500
Fax
(318) 797-8599
NPI assigned
Oct 17, 2006
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
Sr. Concetta Scipione, OLS
Title
Administrator/Ceo
Phone
(318) 797-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 124 LA Primary

Addresses

Primary practice location

10450 Ellerbe Rd
Shreveport, LA 71106-7712

Mailing address

10450 Ellerbe Rd
Shreveport, LA 71106-7712
Phone (318) 797-8500

National Provider Directory

National Provider Directory
Tax ID family
Holy Angels Residential Facility23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477633014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 ELLERBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067712",
            "telephone_number": "318-797-8500",
            "fax_number": "318-797-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 ELLERBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067712",
            "telephone_number": "318-797-8500",
            "fax_number": "318-797-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY ANGELS RESIDENTIAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCIPIONE",
        "authorized_official_first_name": "SR. CONCETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "318-797-8500",
        "authorized_official_credential": "OLS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, 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.