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HOLY ANGELS RESIDENTIAL FACILITY NPI 1124578174


NPI Information

NPI: 1124578174
Provider Name: HOLY ANGELS RESIDENTIAL FACILITY

Doing Business As: ANGELWORKS PRE-VOCATIONAL TRAINING

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
10450 ELLERBE RD
SHREVEPORT, LA
ZIP 71106
Phone: (318) 797-8500
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HOLY ANGELS RESIDENTIAL FACILITY is a day training developmentally disabled services in Shreveport, LA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. HOLY ANGELS RESIDENTIAL FACILITY NPI is 1124578174. The provider is registered as an organization entity type.
The provider Is Doing Business As Angelworks Pre-vocational Training.

The provider's business location address is:

10450 ELLERBE RD
SHREVEPORT, LA
ZIP 71106-712
Phone: (318) 797-8500
Fax: (318) 797-0801

The provider's authorized official is Chris L Horne .
The authorized official title is Director Of Finance and has the following contact phone number (187) 978-5003.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 5/26/2022.


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
1251C00000XDay Training, Developmentally Disabled Services82511LOUISIANAYes

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
11770750747MEDICAIDLOUISIANA
21184843849MEDICAIDLOUISIANA
31528287299MEDICAIDLOUISIANA
41992924658MEDICAIDLOUISIANA
51073732749MEDICAIDLOUISIANA
61639345853MEDICAIDLOUISIANA
71316165418MEDICAIDLOUISIANA
81437378106MEDICAIDLOUISIANA
91619196383MEDICAIDLOUISIANA
101164641833MEDICAIDLOUISIANA
111225256038MEDICAIDLOUISIANA
121578014387MEDICAIDLOUISIANA
131861747638MEDICAIDLOUISIANA
141982823654MEDICAIDLOUISIANA
151346469012MEDICAIDLOUISIANA
161497173090MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.