LYNN LANE COMMUNITY HOME (NPI# 1184839516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184839516 |
| Entity Type | Organization |
| Organization Name | LYNN LANE COMMUNITY HOME |
| Other Organization Name | HDC LYNN LANE COMMUNITY HOME |
| Practice Address |
#3 Lynn Lane Hammond LA 70401 |
| Mailing Address |
45439 Live Oak Drive Hammond LA 70401-9420 |
| Practice Telephone | 9855434006 |
| Mailing Telephone | 2255673111 |
| Mailing Fax Number | 2255673111 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KINDRED HODGE (ADMINISTRATOR) |
| Authorized Official Telephone | 2255673111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 954 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1712086 | 05 |
| Other Name | Type Code |
|---|---|
| HDC Lynn Lane Community Home | Other Name - Individual/Organization |
| Street Address |
#3 LYNN LANE |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679921860 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10599 Gatlin Road, Hammond, LA 70403 | 2016-05-27 |
| 1376991570 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15822 Demarco Lane, Hammond, LA 70403 | 2016-05-27 |
| 1700234903 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42175 Billville Road, Hammond, LA 70403 | 2016-05-27 |
| 1275721573 | Happy Haven Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 44041 Stein Rd, Hammond, LA 70403-2511 | 2007-10-11 |
| 1366630667 | Happy Haven Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42630 Hinson Rd, Hammond, LA 70403-3216 | 2007-10-11 |
| 1376731869 | Happy Haven Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11365 Perret St, Hammond, LA 70401-4605 | 2007-10-09 |
| 1629216700 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 906 C M Fagan Dr, Suite 6-a, Hammond, LA 70403-6056 | 2009-01-28 |
| 1609014190 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 906 C M Fagan Dr, Suite 6-a, Hammond, LA 70403-6056 | 2009-01-22 |
| 1356540470 | Hammond Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 45439 Live Oak Dr, Hammond, LA 70401-4526 | 2007-07-18 |
| 1891919262 | Options Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19362 W Shelton Rd, Hammond, LA 70401-8251 | 2007-04-13 |
| Find all providers in HAMMOND | ||||
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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.