Ponderosa Group Home

LBN: Normal Life Of Lafayette, Inc.
Ponderosa Group Home is an health care organization with primary practice located at 624 Ponderosa Dr , Baton Rouge LA 70819-4027. 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. Normal Life Of Lafayette, Inc. can be contacted via phone (225) 778-5278, or through Ombres, Deena G. via phone (502) 394-2100.

Contact Information

Primary practice address
624 Ponderosa Dr Baton Rouge LA 70819-4027
Phone: (225) 778-5278
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ombres, Deena G.
Phone: (502) 394-2100

Health care specialties

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

Profile Details

NPI number 1275804577
LBN Legal business name Normal Life Of Lafayette, Inc.
DBA Doing business as Ponderosa Group Home
Authorized official Ombres, Deena G.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 18th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275804577 NPPES
Louisiana Other 1717291 VENDOR #
Louisiana Other 888 VENDOR #

Popular Providers