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EXXODUS FOUNDATION INC NPI 1164618534


NPI Information

NPI: 1164618534
Provider Name: EXXODUS FOUNDATION INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
21 ENGLISH TURN DR
SUITE A
NEW ORLEANS, LA
ZIP 70131
Phone: (504) 392-0272
Get Directions

EXXODUS FOUNDATION INC is a community based residential treatment facility, intellectual and/or developmental disabilities in New Orleans, LA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EXXODUS FOUNDATION INC NPI is 1164618534. The provider is registered as an organization entity type.

The provider's business location address is:

21 ENGLISH TURN DR
SUITE A
NEW ORLEANS, LA
ZIP 70131-308
Phone: (504) 392-0272
Fax: (504) 392-0274

The provider's authorized official is Renea Anne Robertson .
The authorized official title is Ceo., Pres., Executive Dir., Trust. and has the following contact phone number (504) 392-0272.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesLA9837472386LOUISIANANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesLA0974029834LOUISIANAYes

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
1LA28176543MEDICAIDLOUISIANA
2LA2019837465MEDICAIDLOUISIANA
3LA9488487737MEDICAIDLOUISIANA
4LA12345678MEDICAIDLOUISIANA

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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