LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC (NPI# 1083865000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083865000 |
| Entity Type | Organization |
| Organization Name | LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC |
| Other Organization Name | LOBDELL COMMUNITY HOME |
| Practice Address |
10015 Greenwell Springs-port Hudson Rd Zachary LA 70791 |
| Practice Telephone | 2256548344 |
| Practice Fax Number | 2256544240 |
| Mailing Telephone | 2256548344 |
| Mailing Fax Number | 2256544240 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | KENDALL A BROUSSARD (MANAGING MEMBER) |
| Authorized Official Telephone | 3374396600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1041 | LA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| LOBDELL COMMUNITY HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386760098 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22336 Sutter Ln, Zachary, LA 70791-6003 | 2007-03-22 |
| 1730205212 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1316063035 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1932225562 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1790801264 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1447376926 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2007-03-22 |
| 1720104466 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2007-03-22 |
| 1558487025 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| Street Address |
10015 GREENWELL SPRINGS-PORT HUDSON RD |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386760098 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22336 Sutter Ln, Zachary, LA 70791-6003 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041446 | Serene Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1567 Shirley Dr, New Orleans, LA 70114-2911 | 2020-07-23 |
| 1609495324 | 180 Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9418 Brookline Ave Ste B, Baton Rouge, LA 70809-1428 | 2020-04-13 |
| 1902442395 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Jackie Street, Rayne, LA 70578-7056 | 2019-11-21 |
| 1033766126 | Believe Therapeutic Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8566 Bayou Run Dr, New Roads, LA 70760-2454 | 2019-08-22 |
| 1063065217 | House of Nola | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10073 Pleasant Dr, Bastrop, LA 71220-6347 | 2019-07-17 |
| 1396219101 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1601 East B North St, Rayne, LA 70578 | 2019-01-15 |
| 1316393531 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1538 Camellia Dr, Hammond, LA 70403-6228 | 2016-05-06 |
| 1164801726 | Grover Therapy LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 218 Brumley Ln, Duson, LA 70529-4022 | 2015-05-28 |
| 1124418348 | Evergree Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 43488 Klein Road, Hammond, LA 70403 | 2015-01-26 |
| 1962892331 | Evergreen Presbyterian Ministries,inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 955 Live Oak Ct, Ponchatoula, LA 70454-4869 | 2015-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.