LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC (NPI# 1932225562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932225562 |
| Entity Type | Organization |
| Organization Name | LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC |
| Other Organization Name | CLARIDGE GROUP HOME |
| Practice Address |
2901 Douglas Dr Bossier City LA 71111-5807 |
| Mailing Address |
1 Lakeshore Dr Suite 1900 Lake Charles LA 70629-0100 |
| Practice Telephone | 3374396600 |
| Practice Fax Number | 3374396647 |
| Mailing Telephone | 3374396600 |
| Mailing Fax Number | 3374396647 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENDALL A BROUSSARD (MANAGING MEMBER) |
| Authorized Official Telephone | 3374396600 |
| 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 | 968 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1718700 | 05 |
| Other Name | Type Code |
|---|---|
| CLARIDGE GROUP HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083865000 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10015 Greenwell Springs-port Hudson Rd, Zachary, LA 70791 | 2008-10-08 |
| 1386760098 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22336 Sutter Ln, Zachary, LA 70791-6003 | 2007-03-22 |
| 1730205212 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1316063035 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1790801264 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1447376926 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2007-03-22 |
| 1720104466 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2007-03-22 |
| 1558487025 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| Street Address |
2901 DOUGLAS DR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372973 | Cypress Point Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2005-11-07 |
| 1265047013 | Lisa Wilhite | Nurse Practitioner | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2020-09-09 |
| 1730205212 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1316063035 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1790801264 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1558487025 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| 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 |
|---|---|---|---|---|
| 1689715179 | Northwest Supports and Services Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5401 Shed Rd, Bossier City, LA 71111-5420 | 2007-02-09 |
| 1467630475 | Certicare,inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3018 Old Minden Rd, Suite 1110, Bossier City, LA 71112-2446 | 2008-02-01 |
| 1457537169 | Certicare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3018 Old Minden Rd, 1110, Bossier City, LA 71112-2446 | 2008-01-11 |
| 1730205212 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1316063035 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1790801264 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1558487025 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 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 | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.