Colonel Joseph George & Saida Saloom Hannie Community Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

940 Issued in LA

Legal business name

COLONEL JOSEPH GEORGE & SAIDA SALOOM HANNIE COMMUNITY HOME, INC.

Practice address

325 W Broussard Rd
Lafayette, LA 70506-7813

Phone

(337) 981-0842

Fax

(337) 981-0441

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa McCoy Hannie

Title

Administrator

Phone

(337) 981-0842

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hannie Community Home Other name

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750419941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W BROUSSARD RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067813",
            "telephone_number": "337-981-0842",
            "fax_number": "337-981-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W BROUSSARD RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067813",
            "telephone_number": "337-981-0842",
            "fax_number": "337-981-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONEL JOSEPH GEORGE & SAIDA SALOOM HANNIE COMMUNITY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANNIE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MCCOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-981-0842",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1724971",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannie Community Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ondria Collins
• Shawana Collins
• Ryan H Collura, L.A.T.
• April Nicole Colomb
• Keith A Colomb, MD
• Candace Jeanine Comeaux
• Donna F Comeaux, CRNA
• Jason R Comeaux, PA-C
• Jerrick Comeaux, M.A., BCBA, LBA
• Marie Comeaux

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment 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.