LEGACY RECOVERY (NPI# 1003167446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003167446 |
| Entity Type | Organization |
| Organization Name | LEGACY RECOVERY |
| Practice Address |
168 W Washington St Baton Rouge LA 70802-7655 |
| Practice Telephone | 2253008091 |
| Practice Fax Number | 2253027462 |
| Mailing Telephone | 2253008091 |
| Mailing Fax Number | 2253027462 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MRS. ADELL ELLIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2253008091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 507 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE LICENSE NUMBER | 507 | 01 |
| Street Address |
168 W WASHINGTON ST |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70802-7655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881113801 | Mason D Ceasar | Counselor | 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 | 2017-09-11 |
| 1508389800 | Arlette Henderson | Counselor | 4776 Adams Street, Baton Rouge, LA 70802 | 2017-07-19 |
| 1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
| 1528597176 | Maya Harvey | Case Manager/Care Coordinator | 1520 Thomas H Delpit, Baton Rouge, LA 70802 | 2017-06-07 |
| 1124554324 | Heart & Key Transportation, LLC | Non-emergency Medical Transport (VAN) | 1716 North 18th Street, Baton Rouge, LA 70802 | 2017-05-08 |
| 1730628769 | Abriel Hunter | Counselor | 3173 Washington Ave., Baton Rouge, LA 70802 | 2017-02-23 |
| 1528506284 | Brennan Manning | Counselor | 1520 Thomas Delpit St., Baton Rouge, LA 70802 | 2017-02-02 |
| 1124570163 | Ty Hightower | Counselor | 1520 Thomas Delpit, Baton Rouge, LA 70802 | 2016-10-25 |
| 1386190924 | Callesha Lashawn Young | Counselor | 1539 North 23rd Street, Baton Rouge, LA 70802 | 2016-09-01 |
| 1598118705 | Shenquie Jackson | Counselor | 1520 Thomas H Delpit Dr Ste 125, Baton Rouge, LA 70802 | 2016-07-22 |
| Find all providers in zip 70802 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609232644 | William Tucker | Community Based Residential Treatment Facility, Mental Illness | 820 Oneal Ln, Baton Rouge, LA 70816-1805 | 2016-01-06 |
| 1154672814 | Hope for You Caring Services LLC | Community Based Residential Treatment Facility, Mental Illness | 6232 Renoir Ave, Baton Rouge, LA 70806-2024 | 2012-09-20 |
| 1548298151 | Cee-breeze Silmhr, LLC. | Community Based Residential Treatment Facility, Mental Illness | 1610 Kildeer St, Baton Rouge, LA 70807-3009 | 2006-06-30 |
| 1104204296 | Volunteers of Greater Baton Rouge | Community Based Residential Treatment Facility, Mental Illness | 3949 North Blvd, Baton Rouge, LA 70806-3827 | 2015-05-11 |
| 1932499530 | New Transitions Health Center LLC | Community Based Residential Treatment Facility, Mental Illness | 170 W Washington St, Baton Rouge, LA 70802-7655 | 2011-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1174036156 | House of Hope | Community Based Residential Treatment Facility, Mental Illness | 222 W Hickory Ave, Bastrop, LA 71220-4552 | 2017-11-13 |
| 1952757023 | Cane River Children's Services | Community Based Residential Treatment Facility, Mental Illness | 425 Rue De Gabriel, Natchitoches, LA 71457-8243 | 2016-05-09 |
| 1417352428 | We Care Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 1404 5th St, Alexandria, LA 71301-7933 | 2014-11-03 |
| 1497150940 | Love Village of Ouachita | Community Based Residential Treatment Facility, Mental Illness | 4463 Winnsboro Rd, Monroe, LA 71202-7509 | 2014-10-27 |
| 1245665157 | Cope Behavior Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 4425 Groom Road, Suite B, Baker, LA 70714 | 2013-09-10 |
| 1699109983 | Provisions Care and Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 7125 Villere Dr, Baker, LA 70714-5347 | 2013-08-22 |
| 1457783078 | Walk With Me Community Improvement Center | Community Based Residential Treatment Facility, Mental Illness | 19331 N 12th St, Covington, LA 70433-5228 | 2013-08-06 |
| 1104176924 | Breathe Again LLC | Community Based Residential Treatment Facility, Mental Illness | 1799 Stumpf Blvd Bldg 2 Ste 4a, Gretna, LA 70056 | 2012-09-19 |
| 1578811139 | Louisiana Coalition Against Human Trafficking | Community Based Residential Treatment Facility, Mental Illness | 210 N. Florida Street, Covington, LA 70433 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70802 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.