CDF HEALTHCARE OF LA, LLC


Address: 149 Afton Rd, Tallulah, LA 71282-7455
Phone: 3185740704

CDF HEALTHCARE OF LA, LLC (NPI# 1205051711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205051711
Entity Type Organization
Organization Name CDF HEALTHCARE OF LA, LLC
Other Organization Name SOUTHFORK GROUP HOME
Practice Address 149 Afton Rd
Tallulah
LA 71282-7455
Mailing Address Po Box 607
Delhi
LA 71232-0607
Practice Telephone 3185740704
Mailing Telephone 3188785106
Mailing Fax Number 3188788671
Enumeration Date 2007-04-17
Last Update Date 2010-06-09
Authorized Official Name MR. JOE DEBOLT (ADMINISTRATOR)
Authorized Official Telephone 3188785106
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 978 LA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1719668 05

Other Provider/Organization Names

Other Name Type Code
Southfork Group Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326304445 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 596 Midway Church Lane, Delhi, LA 71232 2012-04-03
1801196084 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 4449 Highway 17, Delhi, LA 71232 2010-10-22
1538477450 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 606 Midway Church Lane, Delhi, LA 71232 2010-09-14
1396065595 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 668 Midway Church Road, Delhi, LA 71232 2010-06-10
1669796447 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 652 Midway Church Lane, Delhi, LA 71232 2010-03-23
1346578069 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 80 Teer St, Delhi, LA 71232 2009-11-19
1962736967 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 98 Teer St, Delhi, LA 71232 2009-09-23
1902046485 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 128 College Rd, Delhi, LA 71232-7042 2009-02-24
1467699371 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 126 College Rd, Delhi, LA 71232-7042 2009-01-14
1669623591 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 204 Hall St, Delhi, LA 71232-2237 2008-10-09

Office Location

Street Address 149 AFTON RD
City TALLULAH
State LA
Zip Code 71282-7455

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211140 Adonis Williams Counselor 410 E Askew Street, Tallulah, LA 71282 2020-09-30
1154957272 Renewed Path Counseling Services LLC Community/Behavioral Health 602 Wood St Suite A, Richmond, LA 71282 2020-03-20
1639632136 Ljconsulting & Professional Services, LLC Counselor 809 Bailey Rd., Tallulah, LA 71282 2019-04-11
1982120937 Chryl Smith Lee Counselor 1705 W Feliciana Ave, Talullah, LA 71282 2017-08-21
1730619347 Carmen Larae Allen Counselor 805 N Beech Street, Tallulah, LA 71282 2017-06-15
1205365665 Brittney Vontres Scott Case Manager/Care Coordinator 1705 Felicia Avenue, Tallulah, LA 71282 2017-06-08
1427500123 Sharon Jackson Case Manager/Care Coordinator 1000 S Elm St, Tallulah, LA 71282 2016-10-28
1982152989 John Tanner Mcdonald Pharmacist 402 East Darrow Street, Tallulah, LA 71282 2016-09-19
1164874350 Victor Lewis Jr. Counselor 1705 Felicia Drive, Tallulah, LOUISIANA 71282 2016-07-12
1356797492 Keisha Prosser Case Manager/Care Coordinator 1705 Felicia Aveune, Tallulah, LA 71282 2016-05-08
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437374949 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 112 Wallace Rd, Tallulah, LA 71282-7438 2007-04-17
1790901205 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 100 Caroline St, Tallulah, LA 71282-5508 2007-04-17
1982820494 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 618 E Darrow St, Tallulah, LA 71282-3516 2007-04-17
1639392996 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 613 Verhagen Rd, Tallulah, LA 71282-7445 2007-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174136527 St. Mary's Residential Training School Intermediate Care Facility, Mentally Retarded 1901 Huie Dellmon Ave, Boyce, LA 71409-9329 2020-08-26
1174136535 St. Mary's Residential Training School Intermediate Care Facility, Mentally Retarded 1903 Huie Dellmon Ave, Boyce, LA 71409-9329 2020-08-26
1427613371 Lisa Williams Intermediate Care Facility, Mentally Retarded 1202 St. Maurice Ave, New Orleans, LA 70117-7011 2019-05-07
1700324084 Magnolia Community Services, Inc Intermediate Care Facility, Mentally Retarded 821 Jefferson Heights Ave., Jefferson, LA 70121 2017-02-07
1801260468 Magnolia Community Services, Inc Intermediate Care Facility, Mentally Retarded 143 Central Ave, Jefferson, LA 70121-3401 2015-11-19
1669867545 Wendover Community Home Intermediate Care Facility, Mentally Retarded 4607 Wendover Blvd, Alexandria, LA 71303-2528 2015-03-30
1538554423 West Pointe Community Home Intermediate Care Facility, Mentally Retarded 6218 W Pointe Blvd, Alexandria, LA 71303-2000 2015-03-30
1073904389 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 15460 Tracey Ln, Independence, LA 70443-2470 2015-02-09
1306276639 The Arc of Sabine Inc Intermediate Care Facility, Mentally Retarded 200 Dockens Dr, Many, LA 71449-3852 2013-11-22
1326304445 Cdf Healthcare of La, LLC Intermediate Care Facility, Mentally Retarded 596 Midway Church Lane, Delhi, LA 71232 2012-04-03
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Competitor

Search similar providers

City TALLULAH
Zip Code 71282

Improve Information

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Dataset Information

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.

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