NPIMap

Organization Active NPI

Hayes Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Alexandria, LA
National Provider Identifier
1972755502
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1040 Issued in LA
Legal business name
HAYES COMMUNITY HOME
Practice address
3811 Lisa St
Alexandria, LA 71302-2520
Phone
(318) 767-6563
Fax
(318) 767-6564
NPI assigned
Oct 14, 2008
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTSIDE HABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Christina Bolton
Title
Administrator
Phone
(318) 445-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1040 LA Primary

Addresses

Primary practice location

3811 Lisa St
Alexandria, LA 71302-2520

Mailing address

PO Box 7917
Alexandria, LA 71306-0917
Phone (318) 445-1551

Other identifiers 1

IdentifierTypeStateIssuer
19G640MedicaidLA

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 1972755502. Details of each certification follow.

  • CCN 19G640 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G640

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
Hayes Community Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 26, 2008
Last certification
May 1, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
3811 Lisa Street
Alexandria, LA 71302

National Provider Directory

National Provider Directory
Tax ID family
Taft Community Home28 organizations share this tax ID, including this one
Part of
Taft Community Home

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1972755502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7917",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713060917",
            "telephone_number": "318-445-1551",
            "fax_number": "318-445-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 LISA ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713022520",
            "telephone_number": "318-767-6563",
            "fax_number": "318-767-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES COMMUNITY HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE HABILITATION CENTER",
        "enumeration_date": "2008-10-14",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-445-1551"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19G640",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.