Bayou State Health Services

Primary specialty

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

License

810 Issued in LA

Legal business name

BAYOU STATE HEALTH SERVICES

Practice address

550 Robertson Rd
Pollock, LA 71467-3800

Phone

(318) 641-9900

Fax

(318) 641-9991

NPI assigned

Feb 7, 2008

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alfred Steve Coutee Sr.

Title

Owner/Operator

Phone

(318) 641-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robertson Road Community Home Other name

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 1790963189. Details of each certification follow.

• CCN 19G526 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G526

Legal name

Robertson Road Community Home

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 24, 1996

Last certification

Aug 4, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

550 Robertson Road
Pollock, LA 71467

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1790963189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714051098",
            "telephone_number": "318-641-9900",
            "fax_number": "318-641-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ROBERTSON RD",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "714673800",
            "telephone_number": "318-641-9900",
            "fax_number": "318-641-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU STATE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "COUTEE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "318-641-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1713635",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertson Road Community Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Access Health Louisiana (Pollock Elementary SBHC)
• Aubrey Neil Bailey, P.T.
• Kellie Leaanne Belgard
• Melissa Ann Berry
• Meghan Borne, PH.D.
• Christus Health Central Louisiana (Pollock SBHC)
• Bruce L Craig, MD FAAFP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pollock, LA
• Providers in Pollock, 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 Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.