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St. Mary'S Residential Community and Services

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

NPI 1932393741 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1932393741
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
994 (LA)
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Practice address
6690 Antoinette Street
Boyce, LA 71409-9312
Phone
(318) 442-0904
NPI assigned
Sep 5, 2007
Organization subpart
Yes
Parent organization (as reported)
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES

Authorized official

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

Corporate family (same tax ID) 26

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

View all 26

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
St Mary'S Residential Community and Services (27 organizations share this tax ID)
Part of
St Mary'S Residential Community and Services

Locations

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

Specialties & licenses

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

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

IdentifierTypeStateIssuer
1455911MedicaidLA

Other names

  • Joy Nalty Hodges Home Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2026.

{
    "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

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

Sources for this page

Verify at the official NPI Registry.