RENE DRIVE COMMUNITY HOME (NPI# 1942416425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942416425 |
| Entity Type | Organization |
| Organization Name | RENE DRIVE COMMUNITY HOME |
| Other Organization Name | HDC RENE DRIVE COMMUNITY HOME |
| Practice Address |
41198 Rene Drive Ponchatoula LA 70454 |
| Mailing Address |
45439 Live Oak Drive Hammond LA 70401 |
| Practice Telephone | 9853860119 |
| Mailing Telephone | 2255673111 |
| Mailing Fax Number | 2255672017 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KINDRED HODGE (ADMINISTRATOR) |
| Authorized Official Telephone | 2255673111 |
| 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 | 951 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1711292 | 05 |
| Other Name | Type Code |
|---|---|
| HDC Rene Drive Community Home | Other Name - Individual/Organization |
| Street Address |
41198 RENE DRIVE |
| City | PONCHATOULA |
| State | LA |
| Zip Code | 70454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1982246740 | Stephanie R Mason | Pharmacist | 1331 Us-51 Bus, Ponchatoula, LA 70454 | 2019-10-14 |
| 1659879070 | Jessica Barrett | Behavioral Analyst | 21 Industrial Park Blvd Bldg A, Ponchatoula, LA 70454 | 2018-01-31 |
| 1124531397 | Mary F Smith | Counselor | 100 N 13th St, Ponchatoula, LA 70454 | 2017-11-09 |
| 1831625201 | Endia Geter | Counselor | 665 E Beech St, Ponchatoula, LA 70454 | 2017-05-04 |
| 1508392069 | Deep South Family Dentistry | Dentist | 1160 Hwy 51 North, Ponchatoula, LA 70454 | 2017-05-03 |
| 1720539299 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15212 Wadesboro Dr., Ponchatoula, LA 70454 | 2016-10-20 |
| 1376993360 | Latasha Williams | Counselor | 40048 Sugarberry Drive, Ponchatoula, LA 70454 | 2016-06-21 |
| 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 |
| 1881049211 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 East Pecan St., Ponchatoula, LA 70454 | 2016-05-04 |
| Find all providers in zip 70454 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1306294731 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21147 Highway 22, Ponchatoula, LA 70454-7941 | 2016-05-26 |
| 1881049211 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 East Pecan St., Ponchatoula, LA 70454 | 2016-05-04 |
| 1619321361 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20098 Highway 22, Ponchatoula, LA 70454-6776 | 2016-04-19 |
| 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 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 1679921860 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10599 Gatlin Road, Hammond, LA 70403 | 2016-05-27 |
| 1376991570 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15822 Demarco Lane, Hammond, LA 70403 | 2016-05-27 |
| Find all providers with the same taxonomy | ||||
| City | PONCHATOULA |
| Zip Code | 70454 |
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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.