EASTERN LA. MENTAL HEALTH SYSTEM COMMUNITY HOMES DIVISION NPI 1972729127

NPI Information

  • NPI: 1972729127
  • Provider Name: EASTERN LA. MENTAL HEALTH SYSTEM COMMUNITY HOMES DIVISION
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Other Name: LELIA JACKSON RESIDENCE, #98
  • Address: 4502 HWY. 951
    JACKSON, LA
    ZIP 70748
  • Phone: (225) 634-0661

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NPI Details

EASTERN LA. MENTAL HEALTH SYSTEM COMMUNITY HOMES DIVISION is a psychiatric hospital in Jackson, LA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. EASTERN LA. MENTAL HEALTH SYSTEM COMMUNITY HOMES DIVISION NPI is 1972729127. The provider is registered as an organization entity type.
The provider Other Name Is Lelia Jackson Residence, #98.

The provider's business location address is:

4502 HWY. 951
JACKSON, LA
ZIP 70748-498
Phone: (225) 634-0661

The provider's authorized official is Donna M. Harrell .
The authorized official title is Adm. Co. 4 and has the following contact phone number (225) 634-0661.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric Hospital703LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11712281MEDICAIDLOUISIANA

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: 3/30/2025

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