Church St Community Home
LBN: Acadiana Region Supports & Services Center
Church St Community Home is an health care organization with primary practice located at 1103 N Church St , Jennings LA 70546-4707. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Acadiana Region Supports & Services Center can be contacted via phone (337) 821-9301, or through Mcdaniel, Samuel K via phone (337) 824-6250.
Contact Information
Primary practice address
1103 N Church St
Jennings LA 70546-4707
Phone: (337) 821-9301
Fax: (337) 821-9306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 279 | Louisiana |
Profile Details
| NPI number | 1962542910 |
|---|---|
| LBN Legal business name | Acadiana Region Supports & Services Center |
| DBA Doing business as | Church St Community Home |
| Authorized official | Mcdaniel, Samuel K |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Oct 17th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962542910 | NPPES |
| Louisiana | MEDICAID | 1712141 |
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