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LOUIS INFANT CRISIS CENTER NPI 1124376165


NPI Information

NPI: 1124376165
Provider Name: LOUIS INFANT CRISIS CENTER

Other Name: EL PASO HOUSE

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
221 EL PASO DR
HOUMA, LA
ZIP 70360
Phone: (985) 872-4984
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LOUIS INFANT CRISIS CENTER is a residential treatment facility emotionally disturbed children in Houma, LA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. LOUIS INFANT CRISIS CENTER NPI is 1124376165. The provider is registered as an organization entity type.
The provider Other Name Is El Paso House.

The provider's business location address is:

221 EL PASO DR
HOUMA, LA
ZIP 70360-309
Phone: (985) 872-4984
Fax: (985) 872-0017

The provider's authorized official is Rosario O'connell .
The authorized official title is Administrator and has the following contact phone number (985) 872-4984.

The enumeration date for this NPI number is 8/23/2012 and was last updated on 8/23/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children11609LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100000000OTHERLOUISIANANON-MEDICAL GROUP HOME CONTRACTING WITH MAGELLAN FOR MEDICAID REIMBURSEMENT

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

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