ABUNDANT LIFE HOMES OF LA. INC (NPI# 1912152018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912152018 |
| Entity Type | Organization |
| Organization Name | ABUNDANT LIFE HOMES OF LA. INC |
| Other Organization Name | ABUNDANCE HOME |
| Practice Address |
942 Mclemore Dr Baton Rouge LA 70816-1802 |
| Practice Telephone | 2252755303 |
| Practice Fax Number | 2552741028 |
| Mailing Telephone | 2252755303 |
| Mailing Fax Number | 2552741028 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Authorized Official Name | MS. VICKY NOE (ADMINISTRATOR) |
| Authorized Official Telephone | 2252755303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 629 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1718904 | 05 |
| Other Name | Type Code |
|---|---|
| Abundance Home | Other Name - Individual/Organization |
| Street Address |
942 MCLEMORE DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1013016005 | Louisiana Cni, LLC | Intermediate Care Facility, Mentally Retarded | 14837 Central Woods Ave, Baton Rouge, LA 70818-4215 | 2006-09-22 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
Please comment or provide details below to improve the information on ABUNDANT LIFE HOMES OF LA. INC.
| 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.