UPGRADE GROUP HOME LLC


Address: 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805
Phone: 2253949271

UPGRADE GROUP HOME LLC (NPI# 1306481445) 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) 1306481445
Entity Type Organization
Organization Name UPGRADE GROUP HOME LLC
Practice Address 3719 Katherine Ave
3719 Katherine Ave
Baton Rouge
LA 70805
Practice Telephone 2253949271
Mailing Telephone 2253949271
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Authorized Official Name DR. CARL WILLIAMS (DR OF THEOLOGY)
Authorized Official Telephone 2253949271
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 8017464 05

Other Provider/Organization Names

Other Name Type Code
Upgrade Group Home LLC Former Legal Business Name - Organization
Upgrade Group Home, LLC Former Legal Business Name - Organization

Office Location

Street Address 3719 KATHERINE AVE
3719 KATHERINE AVE
City BATON ROUGE
State LA
Zip Code 70805

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1366823395 Travia Linette Washington Community Health Worker 2959 Sherwood St, Baton Rouge, LA 70805 2015-06-16
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023381464 The Harmony Center, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 3131 Riley St, Baton Rouge, LA 70805-2738 2012-02-15
1417220906 Harmony Center, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 1246 Laurel St, Baton Rouge, LA 70802-4644 2012-02-15
1205109626 The Harmony Center, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 505 Camelia Ave, Baton Rouge, LA 70806-5361 2012-02-15
1407129174 Harmony Center, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 821 Main St., Baton Rouge, LA 70802 2012-02-10
1033481387 Harmony Center, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 5455 Longfellow Dr, Baton Rouge, LA 70805-2716 2012-02-02
1053683466 Harmony Center, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 350 Delphine St, Baton Rouge, LA 70806-4985 2012-01-31
1609149103 The Harmony Center, Incorporated Residential Treatment Facility, Emotionally Disturbed Children 1306 Main St, Baton Rouge, LA 70802-4660 2012-02-14

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1912476482 Gbc Hope Residential Treatment Facility, Emotionally Disturbed Children 311 South 1st Street, Monroe, LA 71201 2018-11-14
1528564184 House of Judah International, Inc Residential Treatment Facility, Emotionally Disturbed Children 4104 Spurgeon Dr, Monroe, LA 71203-4415 2018-04-03
1104344258 Hopeful Hearts Inc Residential Treatment Facility, Emotionally Disturbed Children 1104 W. Saint Peter Street, New Iberia, LA 70560-7056 2017-09-08
1073971297 Core Agency Group Residential Treatment Facility, Emotionally Disturbed Children 865 Williams Colony Rd, Downsville, LA 71234-5905 2016-02-02
1891049714 Lighthouse Ministries, Inc. Residential Treatment Facility, Emotionally Disturbed Children 180 Lighthouse Ln, Reeves, LA 70658-5941 2012-10-30
1447503016 Raintree Services Inc Residential Treatment Facility, Emotionally Disturbed Children 1219 8th St, New Orleans, LA 70115-3332 2012-10-19
1124376165 Louis Infant Crisis Center Residential Treatment Facility, Emotionally Disturbed Children 221 El Paso Dr, Houma, LA 70360-7309 2012-08-23
1811259476 Louis Infant Crisis Center Residential Treatment Facility, Emotionally Disturbed Children 3511 Bayou Black Dr, Houma, LA 70360-2302 2012-06-11
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Competitor

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City BATON ROUGE
Zip Code 70805

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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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