Scottwood 2

LBN: Holy Angels Residential Facility
Scottwood 2 is an health care organization with primary practice located at 10450 Ellerbe Rd , Shreveport LA 71106-7712. 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. Holy Angels Residential Facility can be contacted via phone (318) 797-8500, or through Horne, Chris L via phone (318) 797-8500.

Contact Information

Primary practice address
10450 Ellerbe Rd Shreveport LA 71106-7712
Phone: (318) 797-8500
Fax: (318) 798-0159
Website:
Map and Directions
Authorized official contact:
Name: Horne, Chris L CPA
Phone: (318) 797-8500

Health care specialties

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

Profile Details

NPI number 1164641833
LBN Legal business name Holy Angels Residential Facility
DBA Doing business as Scottwood 2
Authorized official Horne, Chris L CPA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated May 27th, 2022 - about 2 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 1164641833 NPPES
Louisiana MEDICAID 1725021

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