CDF Healthcare of la, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

1059 Issued in LA

Legal business name

CDF HEALTHCARE OF LA, LLC

Doing business as

Madeline Group Home

Practice address

98 Teer St
Delhi, LA 71232

Phone

(318) 878-5106

Fax

(318) 878-8671

NPI assigned

Sep 23, 2009

Last updated

Oct 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Edwards

Title

Administrator

Phone

(318) 878-5106

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MADELINE GROUP HOME Doing business as

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 1962736967. Details of each certification follow.

• CCN 19G659 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G659

Legal name

Madeline Group Home

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 26, 2009

Last certification

Aug 12, 2025

Beds

8

Ownership / control type

Private (non-profit)

Most recent change of ownership

Jun 30, 2010

Facility address

98 Teer Street
Delhi, LA 71232

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1962736967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712320607",
            "telephone_number": "318-878-5106",
            "fax_number": "318-878-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 TEER ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "71232",
            "telephone_number": "318-878-5106",
            "fax_number": "318-878-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDF HEALTHCARE OF LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-878-5106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800970",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADELINE GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clear Results

• Intellectual Disabilities Intermediate Care Facility in Delhi, LA
• Providers in Delhi, LA by specialty
• Intellectual Disabilities Intermediate Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.

Verify at the official NPI Registry.