Organization Active NPI

Abundant Life Homes of la. Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Baton Rouge, LA
National Provider Identifier
1912152018
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
629 Issued in LA
Legal business name
ABUNDANT LIFE HOMES OF LA. INC
Practice address
942 McLemore Dr
Baton Rouge, LA 70816-1802
Phone
(225) 275-5303
Fax
(255) 274-1028
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Ms. Vicky Noe
Title
Administrator
Phone
(225) 275-5303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 629 LA Primary

Addresses

Primary practice location

942 McLemore Dr
Baton Rouge, LA 70816-1802

Mailing address

942 McLemore Dr
Baton Rouge, LA 70816-1802
Phone (225) 275-5303

Other identifiers 1

IdentifierTypeStateIssuer
1718904MedicaidLA

Other names 1

  • Abundance Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G370

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Abundance Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 7, 1990
Last certification
Jan 29, 2026
Beds
6
Ownership / control type
Private (proprietary)
Facility address
942 McLemore Drive
Baton Rouge, LA 70816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1912152018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 MCLEMORE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161802",
            "telephone_number": "225-275-5303",
            "fax_number": "255-274-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 MCLEMORE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161802",
            "telephone_number": "225-275-5303",
            "fax_number": "255-274-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HOMES OF LA. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "NOE",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-275-5303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718904",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundance Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.