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DDMS of Louisiana No 2, LLC

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Independence, LA

NPI 1922976372 · NPPES record last updated Oct 27, 2025

Key facts

NPI
1922976372
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
DDMS OF LOUISIANA NO 2, LLC
Practice address
15460 Tracey LN
Independence, LA 70443-2470
Phone
(504) 513-3159
NPI assigned
Oct 27, 2025
Organization subpart
No

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr Asst General Counsel
Phone
(952) 836-2234

Corporate family (same tax ID) 20

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

National Provider Directory

Tax ID family
DDMS of Louisiana No 2 LLC (95 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

15460 Tracey LN
Independence, LA 70443-2470

Mailing address

6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150

Other providers in Independence, LA

All providers in Independence, LA · Intellectual Disabilities Intermediate Care Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.