DDMS OF LOUISIANA NO 2, LLC


Address: 4532 Inchbrook Dr, Baton Rouge, LA 70816-4910
Phone: 5047121323

DDMS OF LOUISIANA NO 2, LLC (NPI# 1992101927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992101927
Entity Type Organization
Organization Name DDMS OF LOUISIANA NO 2, LLC
Practice Address 4532 Inchbrook Dr
Baton Rouge
LA 70816-4910
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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
LA APPLIED FOR 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1982000915 Ddms of Louisiana No 2, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11055 Mollylea Dr, Baton Rouge, LA 70815-5243 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

Office Location

Street Address 4532 INCHBROOK DR
City BATON ROUGE
State LA
Zip Code 70816-4910

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1982000915 Ddms of Louisiana No 2, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11055 Mollylea Dr, Baton Rouge, LA 70815-5243 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
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Competitor

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City BATON ROUGE
Zip Code 70816

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Dataset Information

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.

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