Westside Habilitation Center

LBN: Grant Community Home
Westside Habilitation Center is an health care organization with primary practice located at 1212 Wilshire Dr , Alexandria LA 71303-3140. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Grant Community Home can be contacted via phone (318) 767-5865, or through Bolton, Christina via phone (318) 445-1551.

Contact Information

Primary practice address
1212 Wilshire Dr Alexandria LA 71303-3140
Phone: (318) 767-5865
Fax: (318) 767-5940
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Christina
Phone: (318) 445-1551

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 1030 Louisiana

Profile Details

NPI number 1982862504
LBN Legal business name Grant Community Home
DBA Doing business as Westside Habilitation Center
Authorized official Bolton, Christina
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2008
Last updated Nov 5th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982862504 NPPES
Louisiana MEDICAID 1030

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