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DDMS OF LOUISIANA NO 2 LLC NPI 1669687794


NPI Information

NPI: 1669687794
Provider Name: DDMS OF LOUISIANA NO 2, LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
8280 YMCA PLAZA DR BLDG 9
BATON ROUGE, LA
ZIP 70810
Phone: (225) 767-2344
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DDMS OF LOUISIANA NO 2, LLC 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. DDMS OF LOUISIANA NO 2, LLC NPI is 1669687794. The provider is registered as an organization entity type.

The provider's business location address is:

8280 YMCA PLAZA DR BLDG 9
BATON ROUGE, LA
ZIP 70810-927
Phone: (225) 767-2344
Fax: (225) 767-8068

The provider's authorized official is Mary Patricia Rodenberg-roberts .
The authorized official title is Vp& Sr. Asst General Counsel and has the following contact phone number (952) 836-2234.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 11/20/2023.


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 Services340LOUISIANANo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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
11719218MEDICAIDLOUISIANA

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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