Eastern la. Mental Health System Community Homes Division
Organization Active NPI Psychiatric Hospital · Jackson, LA
NPI 1790905545 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1790905545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- License
- 697 (LA)
- Legal business name
- EASTERN LA. MENTAL HEALTH SYSTEM COMMUNITY HOMES DIVISION
- Practice address
- 4502 Hwy. 951
Jackson, LA 70748-0498 - Phone
- (225) 634-0661
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Donna M. Harrell
- Title
- Adm. Co. 4
- Phone
- (225) 634-0661
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- East la State Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 697 | LA | Yes |
Addresses
Primary practice location
4502 Hwy. 951
Jackson, LA 70748-0498
Mailing address
PO Box 498
Jackson, LA 70748-0498
Phone (225) 634-0661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1712299 | Medicaid | LA |
Other names
- W. T. Price Sr., Residence # 99
Other providers in Jackson, LA
- Meagan Curtis
- Gregory J Dolese
- Tyrie Dunn
- East Louisiana State Hospital
- Eastern la. Mental Health System
- Eastern la. Mental Health System Community Homes Division
- Elmhs Outpatient Pharmacy
- Farris'S Transport Inc.
- Farris'S Transpot Inc.
- Feliciana Consultants, Inc.
All providers in Jackson, LA · Psychiatric Hospital in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.