HOLY ANGELS RESIDENTIAL FACILITY (NPI# 1861747636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861747636 |
| Entity Type | Organization |
| Organization Name | HOLY ANGELS RESIDENTIAL FACILITY |
| Other Organization Name | SISTER'S HOME |
| Practice Address |
10450 Ellerbe Rd Shreveport LA 71106-7712 |
| Practice Telephone | 3187978500 |
| Mailing Telephone | 3187978500 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | LAURIE BOSWELL (CEO) |
| Authorized Official Telephone | 3187978500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6671 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | DHH STATE LICENSE | 6671 | 01 |
| Other Name | Type Code |
|---|---|
| Sister's Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633014 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2006-10-17 |
| 1578014387 | Holy Angels Residential Facility | Community/Behavioral Health | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2016-10-17 |
| 1124578174 | Holy Angels Residential Facility | Day Training, Developmentally Disabled Services | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2016-10-13 |
| 1770750747 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-09 |
| 1639345853 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-07 |
| 1184843849 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1992924658 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1982823654 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1225256035 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1619196383 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| Street Address |
10450 ELLERBE RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633014 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2006-10-17 |
| 1710471891 | Scott M Lepley | Behavioral Analyst | 10450 Ellerbe Rd, Shreveport, LA 71106-7730 | 2018-06-21 |
| 1699215343 | Mary O'neal | Behavioral Analyst | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2017-02-28 |
| 1578014387 | Holy Angels Residential Facility | Community/Behavioral Health | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2016-10-17 |
| 1124578174 | Holy Angels Residential Facility | Day Training, Developmentally Disabled Services | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2016-10-13 |
| 1497173090 | Angelworks Adult Day Center | Day Training, Developmentally Disabled Services | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2014-04-01 |
| 1770750747 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-09 |
| 1639345853 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-07 |
| 1184843849 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| 1992924658 | Holy Angels Residential Facility | Intermediate Care Facility, Mental Illness | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427274851 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1194941518 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1154547578 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1629294053 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1194941526 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570847 | Foundation for You Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Sibley St, Natchitoches, LA 71457-4420 | 2020-05-20 |
| 1114556412 | Grelan Muse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3347 N Foster Dr, Baton Rouge, LA 70805-6825 | 2020-04-07 |
| 1619506912 | Lejune's Enterprises LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5720 Saint Gerard Ave, Baton Rouge, LA 70805-3753 | 2020-04-07 |
| 1912545567 | Safecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 403 Willow St, Franklin, LA 70538-6022 | 2019-12-13 |
| 1528613049 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 608 Lisa St, Rayne, LA 70578-7056 | 2019-08-02 |
| 1578118097 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Electa St, Rayne, LA 70578-7056 | 2019-08-02 |
| 1831686435 | Abiding In The Vine Care Provider | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1141 Whitney Ave Bldg 2, Gretna, LA 70056-5011 | 2018-04-18 |
| 1720539299 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15212 Wadesboro Dr., Ponchatoula, LA 70454 | 2016-10-20 |
| 1770931503 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24345 Harvey Lavigne Road, Ponchatoula, LA 70454 | 2016-06-02 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.