Southpark Group Home

LBN: Normal Life Of Lafayette, Inc.
Southpark Group Home is an health care organization with primary practice located at 4236 Southpark Dr , Baton Rouge LA 70816-4143. 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) 778-5258, or through Ombres, Deena G. via phone (502) 394-2100.

Contact Information

Primary practice address
4236 Southpark Dr Baton Rouge LA 70816-4143
Phone: (225) 778-5258
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 1679845614
LBN Legal business name Normal Life Of Lafayette, Inc.
DBA Doing business as Southpark Group Home
Authorized official Ombres, Deena G.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2012
Last updated Feb 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679845614 NPPES
Louisiana Other 893 OLD LICENSE NO.
Louisiana Other 1718793 OLD LICENSE NO.

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