NPIMap

Organization Active NPI

Holy Angels Residential Facility

Doing business as Holy Angels Academy

  • Developmentally Disabled Services Day Training Agency
  • Shreveport, LA
National Provider Identifier
1629939343
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HOLY ANGELS RESIDENTIAL FACILITY
Doing business as
Holy Angels Academy
Practice address
10450 Ellerbe Rd
Shreveport, LA 71106-7730
Phone
(318) 629-1737
Fax
(318) 797-0801
NPI assigned
Nov 21, 2025
Organization subpart
Yes
Parent organization
HOLY ANGELS RESIDENTIAL FACILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Janet Dietrich, CPA
Title
Chief Financial Officer
Phone
(318) 629-1737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

10450 Ellerbe Rd
Shreveport, LA 71106-7730

Mailing address

10450 Ellerbe Rd
Shreveport, LA 71106-7730
Phone (318) 629-1737

Other names 1

  • Holy Angels Academy Doing business as

National Provider Directory

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

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": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1629939343",
    "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": "711067730",
            "telephone_number": "318-629-1737",
            "fax_number": "318-797-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 ELLERBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067730",
            "telephone_number": "318-629-1737",
            "fax_number": "318-797-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY ANGELS RESIDENTIAL FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY ANGELS RESIDENTIAL FACILITY",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-629-1737",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Angels Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2025; 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.