Fillmore Group Home

LBN: Westside Habilitation Center
Fillmore Group Home is an health care organization with primary practice located at 1155 Presidents Drive , Alexandria LA 71303. 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. Westside Habilitation Center can be contacted via phone (318) 561-0255, or through Bolton, Christina B via phone (318) 445-1551.

Contact Information

Primary practice address
1155 Presidents Drive Alexandria LA 71303
Phone: (318) 561-0255
Fax: (318) 561-0265
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Christina B
Phone: (318) 445-1551

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 1018 Louisiana

Profile Details

NPI number 1588840144
LBN Legal business name Westside Habilitation Center
DBA Doing business as Fillmore Group Home
Authorized official Bolton, Christina B
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 14th, 2008
Last updated Nov 5th, 2009 - about 15 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 1588840144 NPPES
Louisiana MEDICAID 19G618

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