Havens Gateway Personal Care Facility Inc
LBN: Havens Gateway Personal Care Facility Inc
Havens Gateway Personal Care Facility Inc is an health care organization with primary practice located at 1200 S Acadian Thruway 212, Baton Rouge LA 70806-6900. The organization recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Havens Gateway Personal Care Facility Inc can be contacted via phone (225) 343-4740, or through Jackson, Alfreda Carter via phone (225) 343-4740.
Contact Information
Primary practice address
1200 S Acadian Thruway 212
Baton Rouge LA 70806-6900
Phone: (225) 343-4740
Fax: (225) 343-4742
Website:
Authorized official contact:
Name: Jackson, Alfreda Carter Bachelor of Arts (BA)
Phone: (225) 343-4740
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | RC 13015 | Louisiana |
Profile Details
| NPI number | 1346409943 |
|---|---|
| LBN Legal business name | Havens Gateway Personal Care Facility Inc |
| DBA Doing business as | |
| Authorized official | Jackson, Alfreda Carter Bachelor of Arts (BA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Nov 20th, 2008 - about 16 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 | 1346409943 | NPPES |
| Louisiana | MEDICAID | 1072583 | |
| Louisiana | MEDICAID | RC 13015 |
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