Belaire Youth Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BELAIRE YOUTH HOME

Practice address

6530 Burke St
Shreveport, LA 71108-4435

Phone

(318) 470-6881

NPI assigned

Apr 20, 2023

Last updated

Jul 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jarica Johnson, MHANPI 1295271799

Title

Owner

Phone

(318) 693-0059

Specialties & licenses 2

Addresses

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.

• Jarica Johnson

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1295271799
  NPD Authorized official

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1528755428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 BURKE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711084435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 BURKE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711084435",
            "telephone_number": "318-470-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELAIRE YOUTH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JARICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-693-0059",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Hospital of Shreveport
• Behavioral Medicine & Addictive Disorders, Inc.
• Behavioral Medicine and Addictive Disorders, Houston
• Behavioral Specialists of la (Behavioral Specialists of Louisiana)
• Dea Bekteshi, OD
• Erik Joseph Belanger
• Keven Belcher
• Phyllis Lalena Belk, RN
• Amy Cordova Bell
• Angel Bell

• Mental Illness Community Based Residential Treatment Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Illness Community Based Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.