NORMAL LIFE OF LAFAYETTE, INC. (NPI# 1235409111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235409111 |
| Entity Type | Organization |
| Organization Name | NORMAL LIFE OF LAFAYETTE, INC. |
| Other Organization Name | CENTRAL WOODS GROUP HOME |
| Practice Address |
14735 Central Woods Ave Baton Rouge LA 70818-4212 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 2257785195 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | OLD LICENSE NO. | 873 | 01 |
| LA | VENDOR # | 1719536 | 01 |
| Other Name | Type Code |
|---|---|
| Central Woods Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134639057 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 614 Magnolia St, Thibodaux, LA 70301-2126 | 2017-10-05 |
| 1891978078 | Normal Life of Lafayette, Inc. | Nursing Care | 1010 Nanny Rd, Breaux Bridge, LA 70517-7204 | 2007-12-11 |
| 1326221508 | Normal Life of Lafayette, Inc. | Nursing Care | 713 Roosevelt St, Saint Martinville, LA 70582-4929 | 2007-12-11 |
| 1497821169 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 216 La Rue France, Suite A, Lafayette, LA 70508-3104 | 2006-11-27 |
| 1063922979 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 2435 Highway 308, Thibodaux, LA 70301-5839 | 2017-10-05 |
| 1407366321 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 1200 Jefferson St, Thibodaux, LA 70301-2238 | 2017-10-05 |
| 1376053371 | Normal Life of Lafayette, Inc. | Community/Behavioral Health | 602 Fairway Dr, Thibodaux, LA 70301-3726 | 2017-10-04 |
| 1225300262 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 422 Sherwood Forest Blvd, Baton Rouge, LA 70815-5131 | 2012-02-07 |
| 1235401274 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 10944 Sheraton Dr, Baton Rouge, LA 70815-5317 | 2012-02-07 |
| 1679845614 | Normal Life of Lafayette, Inc. | Intermediate Care Facility, Mentally Retarded | 4236 Southpark Dr, Baton Rouge, LA 70816-4143 | 2012-02-07 |
| Street Address |
14735 CENTRAL WOODS AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043315005 | Louisiana Cni, LLC | Intermediate Care Facility, Mentally Retarded | 14735 Central Woods Ave, Baton Rouge, LA 70818-4212 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| Find all providers in zip 70818 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912152018 | Abundant Life Homes of La. Inc | Intermediate Care Facility, Mentally Retarded | 942 Mclemore Dr, Baton Rouge, LA 70816-1802 | 2008-11-18 |
| 1447456140 | Holistic Health Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 13011 Justice Ave, Baton Rouge, LA 70816-5330 | 2007-06-21 |
| 1538205778 | Evergreen Presbyterian Ministries, Inc. | Intermediate Care Facility, Mentally Retarded | 11257 Hooper Rd, Baton Rouge, LA 70818-3804 | 2007-01-29 |
| 1972649127 | Evergreen Presbyterian Ministries, Inc. | Intermediate Care Facility, Mentally Retarded | 14857 Colonel Allen Ct, Baton Rouge, LA 70816-2912 | 2007-01-29 |
| 1700932530 | Evergreen Presbyterian Ministries, Inc. | Intermediate Care Facility, Mentally Retarded | 2838 Dena Lynn Ave, Baton Rouge, LA 70816-2615 | 2007-01-26 |
| 1629124458 | Evergreen Presbyterian Ministries, Inc. | Intermediate Care Facility, Mentally Retarded | 12418 Morgan Meadow Ave, Baton Rouge, LA 70818-5007 | 2007-01-26 |
| 1184725673 | Louisiana Cni, LLC | Intermediate Care Facility, Mentally Retarded | 7844 Silverleaf Ave, Baton Rouge, LA 70811-7716 | 2006-09-26 |
| 1952401127 | Louisiana Cni, LLC | Intermediate Care Facility, Mentally Retarded | 9943 Regency Dr, Baton Rouge, LA 70815-4946 | 2006-09-25 |
| 1851490858 | Louisiana Cni, LLC | Intermediate Care Facility, Mentally Retarded | 13650 Goodwood Blvd, Baton Rouge, LA 70815-7214 | 2006-09-22 |
| 1740389741 | Louisiana Cni, LLC | Intermediate Care Facility, Mentally Retarded | 3251 King Bradford Dr, Baton Rouge, LA 70816-3138 | 2006-09-22 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
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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.