DDMS OF LOUISIANA NO 2, LLC (NPI# 1255737284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255737284 |
| Entity Type | Organization |
| Organization Name | DDMS OF LOUISIANA NO 2, LLC |
| Practice Address |
2612 Gadsden St Kenner LA 70062-5034 |
| 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 |
| 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 |
| 1164828190 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3235 Idaho Ave, Kenner, LA 70065-4524 | 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 |
2612 GADSDEN ST |
| City | KENNER |
| State | LA |
| Zip Code | 70062-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912044330 | Allied Health Care, L.L.C. | Intermediate Care Facility, Mental Illness | 2612 Gadsden St, Kenner, LA 70062-5034 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782766 | Phillip P. Andrews | Pharmacist | Fast Access Specialty Therapeutics/intucare Rx, 2400 Veterans Memorial Blvd Suite 480, Kenner, LA 70062 | 2020-08-28 |
| 1992367791 | Family First Medical & Wellness Clinic, LLC | Clinic/Center | 300 Clay St, Kenner, LA 70062 | 2019-07-01 |
| 1386130573 | Racquel Monique Wilson | Counselor | 2613 Decatur St, Kenner, LA 70062 | 2018-07-10 |
| 1689101453 | Trenese Ferguson | Counselor | 2735 Jasper St, Kenner, LA 70062 | 2017-05-11 |
| 1225577323 | Deniser Mundy | Counselor | 2200 Veterans Boulevard Suite. 105, Kenner, LA 70062 | 2017-02-22 |
| 1104376714 | Easycarewellnessanddentistry LLC | Dentist | 2145 Rev. Richard Wilson Dr, Kenner, LA 70062 | 2016-10-06 |
| 1912370800 | Cabrina Dabney | Counselor | 2400 Veterans Blvd Suite 215, Kenner, LA 70062 | 2015-11-02 |
| 1285005058 | Roseland Jarrow Butler | Case Manager/Care Coordinator | 2200 Veterans Memorial Blvd Ste 105, Kenner, LA 70062 | 2015-10-19 |
| 1023449162 | Tam Minh Le | Pharmacist | 2242 Williams Boulevard, Kenner, LA 70062 | 2013-11-27 |
| 1427393966 | Courtney Beatrous-cooke | Audiologist | 2200 Veterans Blvd, Suite 212, Kenner, LA 70062 | 2012-12-11 |
| Find all providers in zip 70062 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1164828190 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3235 Idaho Ave, Kenner, LA 70065-4524 | 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DDMS OF LOUISIANA NO 2, LLC.
| 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.