NORMAL LIFE OF LAFAYETTE INC. NPI 1104197987

NPI Information

NPI: 1104197987
Provider Name: NORMAL LIFE OF LAFAYETTE, INC.

Other Name: YORKTOWN GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
3071 YORKTOWN DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 778-5245
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NORMAL LIFE OF LAFAYETTE, INC. is an intermediate care facility mentally retarded in Baton Rouge, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORMAL LIFE OF LAFAYETTE, INC. NPI is 1104197987. The provider is registered as an organization entity type.
The provider Other Name Is Yorktown Group Home.

The provider's business location address is:

3071 YORKTOWN DR
BATON ROUGE, LA
ZIP 70808-472
Phone: (225) 778-5245

The provider's authorized official is Deena G. Ombres .
The authorized official title is Assoc. Gen. Counsel/privacy Officer and has the following contact phone number (502) 394-2100.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 1/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	894	OTHER	LOUISIANA	OLD LICENSE NO.
2	1715751	OTHER	LOUISIANA	OLD VENDOR NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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