NPIMap

Organization Active NPI

Monroe Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Alexandria, LA
National Provider Identifier
1699951509
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1020 Issued in LA
Legal business name
MONROE GROUP HOME
Practice address
3902 Jennifer St
Alexandria, LA 71302-2216
Phone
(318) 448-4833
Fax
(318) 448-4834
NPI assigned
Jan 10, 2008
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTSIDE HABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Christina B Bolton
Title
Administrator
Phone
(318) 445-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1020 LA Primary

Addresses

Primary practice location

3902 Jennifer St
Alexandria, LA 71302-2216

Mailing address

PO Box 7917
Alexandria, LA 71306-0917
Phone (318) 445-1551

Other identifiers 1

IdentifierTypeStateIssuer
19G620MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Taft Community Home28 organizations share this tax ID, including this one
Part of
Taft Community Home

Other organizations with this tax ID 27

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

View all 27

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1699951509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7917",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713060917",
            "telephone_number": "318-445-1551",
            "fax_number": "318-445-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 JENNIFER ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713022216",
            "telephone_number": "318-448-4833",
            "fax_number": "318-448-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE GROUP HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE HABILITATION CENTER",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-445-1551"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19G620",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.