DDMS OF LOUISIANA NO 2, LLC (NPI# 1164828190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164828190 |
| Entity Type | Organization |
| Organization Name | DDMS OF LOUISIANA NO 2, LLC |
| Practice Address |
3235 Idaho Ave Kenner LA 70065-4524 |
| Mailing Address |
3241 Idaho Ave Kenner LA 70065-4524 |
| Practice Telephone | 5047121323 |
| Mailing Telephone | 5047121323 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | WAYNE ADDISON (COO) |
| Authorized Official Telephone | 9016925555 |
| 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 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | APPLIED FOR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992101927 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4532 Inchbrook Dr, Baton Rouge, LA 70816-4910 | 2014-11-19 |
| 1801292834 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1495 Gardena Dr, New Orleans, LA 70122-1913 | 2014-11-19 |
| 1255737284 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2612 Gadsden St, Kenner, LA 70062-5034 | 2014-11-19 |
| 1598161523 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 38th St, Kenner, LA 70065-3518 | 2014-11-19 |
| 1710383740 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13231 Wenham Ave, Baton Rouge, LA 70815-6958 | 2014-11-19 |
| 1073919007 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1607 Garden St, Kenner, LA 70065-4424 | 2014-11-19 |
| 1982000915 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11055 Mollylea Dr, Baton Rouge, LA 70815-5243 | 2014-11-19 |
| 1194121178 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4530 Argonne St, Metairie, LA 70001-2447 | 2014-11-18 |
| 1275939795 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3705 Alton St, Metairie, LA 70001-1703 | 2014-11-11 |
| Street Address |
3235 IDAHO AVE |
| City | KENNER |
| State | LA |
| Zip Code | 70065-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306983721 | Allied Health Care, L.L.C. | Intermediate Care Facility, Mental Illness | 3235 Idaho Ave, Kenner, LA 70065-4524 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| 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 |
|---|---|---|---|---|
| 1255737284 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2612 Gadsden St, Kenner, LA 70062-5034 | 2014-11-19 |
| 1598161523 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 38th St, Kenner, LA 70065-3518 | 2014-11-19 |
| 1073919007 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1607 Garden St, Kenner, LA 70065-4424 | 2014-11-19 |
| 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 |
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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.