Upgrade Group Home Llc

LBN: Upgrade Group Home Llc
Upgrade Group Home Llc is an health care organization with primary practice located at 3719 Katherine Ave 3719 Katherine Ave, Baton Rouge LA 70805. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Upgrade Group Home Llc can be contacted via phone (225) 394-9271, or through Williams, Carl via phone (225) 394-9271.

Contact Information

Primary practice address
3719 Katherine Ave 3719 Katherine Ave Baton Rouge LA 70805
Phone: (225) 394-9271
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Carl
Phone: (225) 394-9271

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1306481445
LBN Legal business name Upgrade Group Home Llc
DBA Doing business as
Authorized official Williams, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306481445 NPPES
Louisiana MEDICAID 8017464

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