Tenth Street Community Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

748 Issued in LA

Legal business name

TENTH STREET COMMUNITY HOME

Practice address

1800 10TH St
Lake Charles, LA 70601-6532

Phone

(337) 436-6664

Fax

(337) 436-0250

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Gordon Propst

Title

Administrator

Phone

(337) 436-6664

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629282116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706156816",
            "telephone_number": "337-436-6664",
            "fax_number": "337-436-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 10TH ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016532",
            "telephone_number": "337-436-6664",
            "fax_number": "337-436-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENTH STREET COMMUNITY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROPST",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-436-6664"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19G472",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tee'S Fitness & Rehabilitation Center
• Stacy Lee Teer, PHARMD
• Jemma Telemaque
• Steven Porter Templeton, CRNA
• Summer Duncan Templeton, CRNA
• Juan Carlos Teran, M.D.
• Nanette Marie Territa Prejean, LPC LMFT
• Ashleigh McInnis Terry, PD
• Connie Michelle Tezeno-Moore
• Chelsea Tezeno

• Intellectual Disabilities Intermediate Care Facility in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Intellectual Disabilities Intermediate Care Facility in Louisiana

• 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.