Active NPI
Abundant Life Homes of la. Inc
- Intellectual Disabilities Intermediate Care Facility
- Baton Rouge, LA
National Provider Identifier
1912152018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 629
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1718904 | Medicaid | LA |
Other names 1
- Abundance Home
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 DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.