AMENA HEALTHCARE GROUP LLC (AMENA ADULT DAY & CHILDREN REHAB SERVICES) - NPI NUMBER 1386088417

Summary

Provider Name: AMENA HEALTHCARE GROUP LLC (AMENA ADULT DAY & CHILDREN REHAB SERVICES)

NPI Number: 1386088417

Clasification: Day Training, Developmentally Disabled Services (251C00000X)

Address:
138 MCGEHEE DR
BATON ROUGE, LA
ZIP 70815

Phone Number: (225) 272-0935



Detailed Information

AMENA HEALTHCARE GROUP LLC is a day training, developmentally disabled services in Baton Rouge, 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. The assigned NPI number for this provider is 1386088417 and is registered as an organization entity type.
The provider Is Doing Business As Amena Adult Day & Children Rehab Services.

The provider's business address is:

138 MCGEHEE DR
BATON ROUGE, LA
ZIP 70815-012
Phone: (225) 272-0935
Fax: (225) 272-0950

The provider's authorized official is Rhonda Johnson .
The authorized official title is Owner and has the following contact phone number (225) 272-0935.

The enumeration date for this NPI number is 4/19/2013 and was last updated on 1/14/2014.

Map - Location of Practice

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Taxonomy Codes

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 251C00000X Day Training, Developmentally Disabled Services Yes

NPI Record

No. Field Name Field Value
1 NPI 1386088417
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name AMENA HEALTHCARE GROUP LLC
5 Provider Other Organization Name AMENA ADULT DAY & CHILDREN REHAB SERVICES
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 138 MCGEHEE DR
8 Provider Business Practice Location Address City Name BATON ROUGE
9 Provider Business Practice Location Address State Name LA
10 Provider Business Practice Location Address Postal Code 708155012
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2252720935
13 Provider Business Practice Location Address Fax Number 2252720950
14 Provider Enumeration Date 4/19/2013
15 Last Update Date 1/14/2014
16 Authorized Official Last Name JOHNSON
17 Authorized Official First Name RHONDA
18 Authorized Official Title or Position OWNER
19 Authorized Official Telephone Number 2252720935
20 Healthcare Provider Taxonomy Code 1 251C00000X
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N

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This page was last updated on: 7/15/2014
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.