NPIMap

Organization Active NPI

CDF Healthcare of la, LLC

Doing business as Bear Den Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Delhi, LA
National Provider Identifier
1669623591
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1042 Issued in LA
Legal business name
CDF HEALTHCARE OF LA, LLC
Doing business as
Bear Den Group Home
Practice address
204 Hall St
Delhi, LA 71232-2237
Phone
(318) 878-5106
Fax
(318) 878-8671
NPI assigned
Oct 9, 2008
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Mrs. Tammy Edwards
Title
Administrator
Phone
(318) 878-5106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1042 LA Primary

Addresses

Primary practice location

204 Hall St
Delhi, LA 71232-2237

Mailing address

PO Box 607
Delhi, LA 71232-0607
Phone (318) 878-5106

Other identifiers 1

IdentifierTypeStateIssuer
1336581MedicaidLA

Other names 1

  • BEAR DEN GROUP HOME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669623591. Details of each certification follow.

  • CCN 19G642 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G642

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Bear Den Group Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 27, 2008
Last certification
Aug 14, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
204 Hall Street
Delhi, LA 71232

National Provider Directory

National Provider Directory
Tax ID family
CDF Healthcare of la LLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1669623591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712320607",
            "telephone_number": "318-878-5106",
            "fax_number": "318-878-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HALL ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712322237",
            "telephone_number": "318-878-5106",
            "fax_number": "318-878-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDF HEALTHCARE OF LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-878-5106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336581",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAR DEN GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.