St. Genevive Health Care Services, Inc.

Primary specialty

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

License

RC 7040 Issued in LA

Legal business name

ST. GENEVIVE HEALTH CARE SERVICES, INC.

Practice address

3644 Government St Ste a
Alexandria, LA 71302-3324

Phone

(318) 443-4141

NPI assigned

Apr 13, 2007

Last updated

Oct 15, 2024By 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

Misty Ryder

Title

Director

Phone

(318) 219-4101

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Genevive Health Care Services Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• St. Genevive Health Care Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Shreveport, LA
  • NPI 1154547578
  NPD tax ID
• St. Genevive Health Care Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Shreveport, LA
  • NPI 1194941518
  NPD tax ID
• St. Genevive Health Care Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Shreveport, LA
  • NPI 1194941526
  NPD tax ID
• St. Genevive Health Care Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Alexandria, LA
  • NPI 1245456664
  NPD tax ID
• St. Genevive Health Care Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Shreveport, LA
  • NPI 1427274851
  NPD tax ID
• St. Genevive Health Care Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Alexandria, LA
  • NPI 1447474135
  NPD tax ID
• St. Genevive Health Care Services, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Alexandria, LA
  • NPI 1629294053
  NPD tax ID

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1841414489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 GOVERNMENT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023324",
            "telephone_number": "318-443-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 GOVERNMENT ST STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023324",
            "telephone_number": "318-443-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GENEVIVE HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-219-4101"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "RC 7040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458643",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lorraine G. Staats, MS,LDN,RD
• Brenda Stacy
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• Clay Thomas Stafford, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alexandria, LA
• Providers in Alexandria, 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 Oct 15, 2024; 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.