NPIMap

Organization Active NPI

St. Mary's Residential Community and Services

Doing business as Joy Nalty Hodges Home

  • Intellectual Disabilities Intermediate Care Facility
  • Boyce, LA
National Provider Identifier
1932393741
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
994 Issued in LA
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Doing business as
Joy Nalty Hodges Home
Practice address
6690 Antoinette Street
Boyce, LA 71409-9312
Phone
(318) 442-0904
NPI assigned
Sep 5, 2007
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Khristy Ellis
Title
Controller
Phone
(318) 445-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 994 LA Primary

Addresses

Primary practice location

6690 Antoinette Street
Boyce, LA 71409-9312

Mailing address

PO Box 7768
Alexandria, LA 71306-0768
Phone (318) 445-6443

Other identifiers 1

IdentifierTypeStateIssuer
1455911MedicaidLA

Other names 1

  • Joy Nalty Hodges Home Doing business as

Medicare participation

Medicare enrollment files
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 1932393741. Details of each certification follow.

  • CCN 19G994 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G994

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
Joy Nalty Hodges Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 8, 2006
Last certification
Sep 10, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
6690 Antoinette Street
Boyce, LA 71409

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Residential Community and Services27 organizations share this tax ID, including this one
Part of
St Mary's Residential Community and Services

Other organizations with this tax ID 26

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

View all 26

Locations

6690 Antoinette St
Boyce, LA 71409
Phone (318) 442-0904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1932393741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7768",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713060768",
            "telephone_number": "318-445-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 ANTOINETTE STREET",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "714099312",
            "telephone_number": "318-442-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES",
        "enumeration_date": "2007-09-05",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KHRISTY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "318-445-6443"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy Nalty Hodges Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boyce, LA

Sources for this page

Verify at the official NPI Registry.