HOLY ANGELS RESIDENTIAL FACILITY (NPI# 1124578174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124578174 |
| Entity Type | Organization |
| Organization Name | HOLY ANGELS RESIDENTIAL FACILITY |
| Other Organization Name | ANGELWORKS PRE-VOCATIONAL TRAINING |
| Practice Address |
10450 Ellerbe Rd Shreveport LA 71106-7712 |
| Practice Telephone | 3187978500 |
| Practice Fax Number | 3187970801 |
| Mailing Telephone | 3187978500 |
| Mailing Fax Number | 3187970801 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | MRS. LAURIE FAITH BOSWELL (CEO) |
| Authorized Official Telephone | 3187978500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 82511 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1225256038 | 05 | |
| LA | 1639345853 | 05 | |
| LA | 1770750747 | 05 | |
| LA | 1073732749 | 05 | |
| LA | 1497173090 | 05 | |
| LA | 1528287299 | 05 | |
| LA | 1164641833 | 05 | |
| LA | 1992924658 | 05 | |
| LA | 1861747638 | 05 | |
| LA | 1184843849 | 05 | |
| LA | 1346469012 | 05 | |
| LA | 1619196383 | 05 | |
| LA | 1316165418 | 05 | |
| LA | 1437378106 | 05 | |
| LA | 1982823654 | 05 |
| Other Name | Type Code |
|---|---|
| AngelWorks Pre-Vocational Training | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633014 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2006-10-17 |
| 1578014387 | Holy Angels Residential Facility | Community/Behavioral Health | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2016-10-17 |
| 1861747636 | Holy Angels Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2012-07-18 |
| 1770750747 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-09 |
| 1639345853 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-07 |
| 1184843849 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1992924658 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1982823654 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1225256035 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1619196383 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| Street Address |
10450 ELLERBE RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633014 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2006-10-17 |
| 1710471891 | Scott M Lepley | Behavioral Analyst | 10450 Ellerbe Rd, Shreveport, LA 71106-7730 | 2018-06-21 |
| 1699215343 | Mary O'neal | Behavioral Analyst | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2017-02-28 |
| 1578014387 | Holy Angels Residential Facility | Community/Behavioral Health | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2016-10-17 |
| 1497173090 | Angelworks Adult Day Center | Day Training, Developmentally Disabled Services | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2014-04-01 |
| 1861747636 | Holy Angels Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2012-07-18 |
| 1770750747 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-09 |
| 1639345853 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-07 |
| 1184843849 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1992924658 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093253098 | Fresh Start Family Support Services | Day Training, Developmentally Disabled Services | 405 Hearne Ave, Shreveport, LA 71103-2021 | 2017-02-09 |
| 1588953111 | Goodwill Industries of North Louisiana, Inc. | Day Training, Developmentally Disabled Services | 800 W 70th St, Shreveport, LA 71106-2519 | 2011-04-05 |
| 1245351998 | Volunteers of America of North Louisiana | Day Training, Developmentally Disabled Services | 1554 Magnolia Ave, Room A203, Shreveport, LA 71101 | 2007-04-02 |
| 1497173090 | Angelworks Adult Day Center | Day Training, Developmentally Disabled Services | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2014-04-01 |
| 1245352723 | Volunteers of America of North Louisiana | Day Training, Developmentally Disabled Services | 1554 Magnolia Ave, Shreveport, LA 71101 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830328 | Holistic Health Care Services, Inc | Day Training, Developmentally Disabled Services | 22175 Plank Rd, Zachary, LA 70791-7465 | 2020-01-24 |
| 1578103503 | Association Retarded Citizens Baton Rouge | Day Training, Developmentally Disabled Services | 12616 Jefferson Hwy, Baton Rouge, LA 70816-6248 | 2020-01-07 |
| 1780185660 | Bobbie Mims | Day Training, Developmentally Disabled Services | 14966 Highway 9, Athens, LA 71003-3068 | 2018-02-26 |
| 1659814697 | Therapeutic Approaches, Inc | Day Training, Developmentally Disabled Services | 1310 Powell, Monroe, LA 71203 | 2016-11-23 |
| 1326591793 | Alphacare Support | Day Training, Developmentally Disabled Services | 7809 Airline Dr., Ste. 210, Metairie, LA 70003 | 2016-08-02 |
| 1760839435 | Solomon Temple Ministries | Day Training, Developmentally Disabled Services | 1917 Harless St, Lake Charles, LA 70601-1036 | 2016-05-23 |
| 1376912204 | Allesha Adult Day Care and Health Center Inc. | Day Training, Developmentally Disabled Services | 4843 Viola St, New Orleans, LA 70126-4366 | 2015-09-22 |
| 1407243975 | Association of Retarded Citizens of Evangeline, Inc | Day Training, Developmentally Disabled Services | 109 West Lasalle St, Ville Platte, LA 70586 | 2015-04-22 |
| 1457756736 | Jasmine Care, LLC | Day Training, Developmentally Disabled Services | 9151 Interline Ave, Suite 6b, Baton Rouge, LA 70809-1970 | 2014-10-28 |
| 1659713709 | Brightside Day Habilitation, Inc | Day Training, Developmentally Disabled Services | 557 E Main St Ste A, Brusly, LA 70719-2210 | 2013-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.