Ivy Group Home
LBN: Louise S Davis Residential Facilities, Llc
Ivy Group Home is an health care organization with primary practice located at 1411 Claiborne Ave , Shreveport LA 71103-4203. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Louise S Davis Residential Facilities, Llc can be contacted via phone (337) 439-6600, or through Broussard, Kendall A via phone (337) 439-6600.
Contact Information
Primary practice address
1411 Claiborne Ave
Shreveport LA 71103-4203
Phone: (337) 439-6600
Fax: (337) 439-6647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 970 | Louisiana |
Profile Details
| NPI number | 1720104466 |
|---|---|
| LBN Legal business name | Louise S Davis Residential Facilities, Llc |
| DBA Doing business as | Ivy Group Home |
| Authorized official | Broussard, Kendall A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1720104466 | NPPES |
| Louisiana | MEDICAID | 1710971 |
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