NPIMap

Organization Active NPI

New Earth, Inc.

Doing business as LeDoux Provosty, Sr. Memorial Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hessmer, LA
National Provider Identifier
1972772218
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
280 Issued in LA
Legal business name
NEW EARTH, INC.
Doing business as
LeDoux Provosty, Sr. Memorial Home
Practice address
4332 Jeansonne St
Hessmer, LA 71341-4649
Phone
(318) 563-4424
Fax
(318) 563-4424
NPI assigned
Feb 20, 2008
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mr. Charles B. Randall
Title
Administrator
Phone
(318) 563-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 280 LA Primary

Addresses

Primary practice location

4332 Jeansonne St
Hessmer, LA 71341-4649

Mailing address

4332 Jeansonne St
Hessmer, LA 71341-4649
Phone (318) 563-4424

Other identifiers 1

IdentifierTypeStateIssuer
1715531MedicaidLA

Other names 1

  • LeDoux Provosty, Sr. Memorial 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 1972772218. Details of each certification follow.

  • CCN 19G059 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G059

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
Ledoux Provosty Sr Memorial Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 20, 1982
Last certification
May 7, 2025
Beds
8
Ownership / control type
Private (proprietary)
Facility address
4332 Jeansonne Street
Hessmer, LA 71341

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1972772218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 JEANSONNE ST",
            "city": "HESSMER",
            "state": "LA",
            "postal_code": "713414649",
            "telephone_number": "318-563-4424",
            "fax_number": "318-563-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 JEANSONNE ST",
            "city": "HESSMER",
            "state": "LA",
            "postal_code": "713414649",
            "telephone_number": "318-563-4424",
            "fax_number": "318-563-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW EARTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-563-4424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715531",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeDoux Provosty, Sr. Memorial Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hessmer, LA

Sources for this page

Verify at the official NPI Registry.