DDMS OF LOUISIANA NO 2, LLC (NPI# 1982000915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982000915 |
| Entity Type | Organization |
| Organization Name | DDMS OF LOUISIANA NO 2, LLC |
| Practice Address |
11055 Mollylea Dr Baton Rouge LA 70815-5243 |
| Mailing Address |
3241 Idaho Ave Kenner LA 70065-4524 |
| Practice Telephone | 5047121323 |
| Mailing Telephone | 5047121323 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | WAYNE ADDISON (COO) |
| Authorized Official Telephone | 9016925555 |
| 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 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | APPLIED FOR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992101927 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4532 Inchbrook Dr, Baton Rouge, LA 70816-4910 | 2014-11-19 |
| 1801292834 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1495 Gardena Dr, New Orleans, LA 70122-1913 | 2014-11-19 |
| 1255737284 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2612 Gadsden St, Kenner, LA 70062-5034 | 2014-11-19 |
| 1598161523 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 38th St, Kenner, LA 70065-3518 | 2014-11-19 |
| 1710383740 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13231 Wenham Ave, Baton Rouge, LA 70815-6958 | 2014-11-19 |
| 1073919007 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1607 Garden St, Kenner, LA 70065-4424 | 2014-11-19 |
| 1164828190 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3235 Idaho Ave, Kenner, LA 70065-4524 | 2014-11-19 |
| 1194121178 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4530 Argonne St, Metairie, LA 70001-2447 | 2014-11-18 |
| 1275939795 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3705 Alton St, Metairie, LA 70001-1703 | 2014-11-11 |
| Street Address |
11055 MOLLYLEA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70815-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356489710 | Allied Health Care, L.L.C. | Intermediate Care Facility, Mental Illness | 11055 Mollylea Dr, Baton Rouge, LA 70815-5243 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338343 | Gods Gift Transportation Service | Non-emergency Medical Transport (VAN) | 12333 Flordia Blvd, Suite A, Baton Rouge, LA 70815 | 2020-08-27 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1821592924 | Best Choice Transportation LLC | Non-emergency Medical Transport (VAN) | 2035 Wooddale Ave., Baton Rouge, LA 70815 | 2018-03-22 |
| 1679085609 | Kevia Neshell Green | Case Manager/Care Coordinator | 211 Antrim Dr Apt C, Baton Rouge, LA 70815 | 2017-10-31 |
| 1104349828 | Priscilla Carter | Case Manager/Care Coordinator | 9726 West Coronado Drive, Baton Rouge, LA 70815 | 2017-07-25 |
| 1023545902 | Krystal Ross | Counselor | 9420 Lindale Ave Ste A&b, Baton Rouge, LA 70815 | 2017-05-22 |
| 1679014351 | Daniel Joseph Woods | Counselor | 12459 Goodwood Blvd, Baton Rouge, LA 70815 | 2017-03-15 |
| 1073058319 | April Coleman | Case Manager/Care Coordinator | 11534 E Black Oak Dr, Baton Rouge, LA 70815 | 2016-12-22 |
| 1407213499 | Earnestine Payne | Counselor | 1314 S Mike Dr, Baton Rouge, LA 70815 | 2016-01-21 |
| Find all providers in zip 70815 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1992101927 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4532 Inchbrook Dr, Baton Rouge, LA 70816-4910 | 2014-11-19 |
| 1073732954 | Cb's Place Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2736 Florida Blvd, Baton Rouge, LA 70802-2719 | 2007-04-25 |
| 1184841488 | Shekinah Glory Ministry of Baton Rouge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3613 Government St, Baton Rouge, LA 70806-5721 | 2007-04-19 |
| 1710383740 | Ddms of Louisiana No 2, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13231 Wenham Ave, Baton Rouge, LA 70815-6958 | 2014-11-19 |
| 1588961874 | Harmony Center, Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2736 Florida Blvd, Baton Rouge, LA 70802-2719 | 2011-02-22 |
| 1043517337 | Harmony Center, Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2736 Florida Blvd, Baton Rouge, LA 70802-2719 | 2011-02-22 |
| 1346547155 | Harmony Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2736 Florida Blvd, Baton Rouge, LA 70802-2719 | 2011-02-15 |
| 1063609204 | Shekinah Glory | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3613 Government St, Baton Rouge, LA 70806-5721 | 2007-10-02 |
| 1093913485 | Heavenly Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4824 E Brookstown Dr, Baton Rouge, LA 70805-3823 | 2007-07-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70815 |
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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.