Organization Active NPI

CDF Healthcare of la, LLC

Doing business as Norris Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Delhi, LA
National Provider Identifier
1669796447
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1663 Issued in LA
Legal business name
CDF HEALTHCARE OF LA, LLC
Doing business as
Norris Group Home
Practice address
652 Midway Church Lane
Delhi, LA 71232
Phone
(318) 878-5106
Fax
(318) 878-8671
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Mr. Joe Debolt
Title
Administrator
Phone
(318) 878-5106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1663 LA Primary

Addresses

Primary practice location

652 Midway Church Lane
Delhi, LA 71232

Mailing address

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

Other names 1

  • NORRIS 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 1669796447. Details of each certification follow.

  • CCN 19G663 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G663

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
Norris Group Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 26, 2010
Last certification
May 7, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
652 Midway Church Road
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

Locations

652 Midway Church Ln
Delhi, LA 71232

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1669796447",
    "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": "652 MIDWAY CHURCH LANE",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "71232",
            "telephone_number": "318-878-5106",
            "fax_number": "318-878-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDF HEALTHCARE OF LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "DEBOLT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-878-5106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "1663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORRIS GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.