LOUISIANA HOME, INC. (NPI# 1346485562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346485562 |
| Entity Type | Organization |
| Organization Name | LOUISIANA HOME, INC. |
| Practice Address |
1950 Webb Street Detroit MI 48206-1282 |
| Practice Telephone | 3138688724 |
| Practice Fax Number | 3138835023 |
| Mailing Telephone | 3138688724 |
| Mailing Fax Number | 3138835023 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | MS. LILLIA ROSE DODSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3138688724 |
| Authorized Official Credential | B.A. BUSINESS AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
1950 WEBB STREET |
| City | DETROIT |
| State | MI |
| Zip Code | 48206-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1306330246 | Harper's Care Club, LLC | Home Health | 1732 W Bethune St Apt 4, Detroit, MI 48206 | 2018-06-14 |
| 1700210440 | Tender Loving Care Assisted Living | Custodial Care Facility | 2250 W.euclid, Detroit, MI 48206 | 2013-08-29 |
| 1063560761 | Platinum Care Pharmacy Inc. | Pharmacy | 8500 14th Street, Detroit, MI 48206 | 2007-01-08 |
| 1619067527 | Young-sims Clinic PC | Family Medicine | 9150 Linwood, Detroit, MI 48206 | 2006-10-13 |
| 1093811200 | Grace W Patterson | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-15 |
| 1164437992 | Rosa Park Medical Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8665 Rosa Parks Boulavard, Detroit, MI 48206 | 2006-07-30 |
| 1336495696 | Ephraim I Onwuegbuchu | Pharmacist | 8500 14th Street, Detroit, MI 48206 | 2012-07-24 |
| 1962647552 | Jabez Recovery Management Services, Inc | Substance Abuse Rehabilitation Facility | 2755 Collingwood St, Detroit, MI 48206 | 2008-12-10 |
| 1033215918 | Robert Nmn Sims | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-16 |
| Find all providers in zip 48206 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518110386 | Don Bosco Hall | Residential Treatment Facility, Emotionally Disturbed Children | 10001 Petoskey Ave, Detroit, MI 48204-3908 | 2008-10-24 |
| 1487841730 | The Salvation Army Denby Center | Residential Treatment Facility, Emotionally Disturbed Children | 20775 Pembroke Ave, Detroit, MI 48219-1345 | 2007-10-01 |
| 1467009258 | Jabez Recovery Management Services | Residential Treatment Facility, Emotionally Disturbed Children | 2755 Collingwood St, Detroit, MI 48206-1476 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393408 | Charles and Rose Kelley Open Arms | Residential Treatment Facility, Emotionally Disturbed Children | 718 Somerset Rd, Saginaw, MI 48638-6262 | 2016-05-09 |
| 1659621597 | Boys To Men Group Home, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 6025 Litchfield Ln, Kalamazoo, MI 49009-9128 | 2012-09-18 |
| 1902156359 | Ian Warnsley | Residential Treatment Facility, Emotionally Disturbed Children | 1204 Jenks Blvd, Kalamazoo, MI 49006-2179 | 2012-09-13 |
| 1063786168 | Adolescence In Motion | Residential Treatment Facility, Emotionally Disturbed Children | 237 N Old Woodward Ave Ste 5, Birmingham, MI 48009-5305 | 2012-03-07 |
| 1750618419 | Lakeside for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3921 Oakland Dr, Kalamazoo, MI 49008-4819 | 2009-11-17 |
| 1003022922 | Dalila Joy Beard | Residential Treatment Facility, Emotionally Disturbed Children | 2300 N Adrian Hwy, Adrian, MI 49221-1728 | 2007-05-15 |
| 1720123706 | Highfields | Residential Treatment Facility, Emotionally Disturbed Children | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2007-02-20 |
| 1154472710 | Boys & Girls Republic | Residential Treatment Facility, Emotionally Disturbed Children | 28000 W 9 Mile Rd, Farmington Hills, MI 48336-3812 | 2007-01-12 |
| 1659428167 | Methodist Children's Home Society | Residential Treatment Facility, Emotionally Disturbed Children | 26645 W 6 Mile Rd, Redford, MI 48240-2319 | 2007-01-05 |
| 1477639458 | Vista Maria | Residential Treatment Facility, Emotionally Disturbed Children | 20651 W Warren Ave, Dearborn Heights, MI 48127-2622 | 2006-10-31 |
| Find all providers with the same taxonomy | ||||
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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.