NORMAL LIFE OF LOUISIANA, INC.


Address: 15460 Tracey Ln, Independence, LA 70443-2470
Phone: 5023942100

NORMAL LIFE OF LOUISIANA, INC. (NPI# 1073904389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073904389
Entity Type Organization
Organization Name NORMAL LIFE OF LOUISIANA, INC.
Other Organization Name TRACY LANE
Practice Address 15460 Tracey Ln
Independence
LA 70443-2470
Mailing Address 9901 Linn Station Rd
Louisville
KY 40223-3808
Practice Telephone 5023942100
Mailing Telephone 5023942100
Enumeration Date 2015-02-09
Last Update Date 2015-02-09
Authorized Official Name MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
Authorized Official Telephone 5023942100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded LA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Tracy Lane Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518032705 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-22
1497815286 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-12-11
1033285143 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-28
1740356856 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-28
1659447761 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-28
1568538676 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-28
1689740060 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-28
1811063928 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-28
1972679090 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-28
1669548236 Normal Life of Louisiana, Inc. Intermediate Care Facility, Mentally Retarded 2895 Highway 190, Suites A 1-2, Mandeville, LA 70471-3414 2006-11-27

Office Location

Street Address 15460 TRACEY LN
City INDEPENDENCE
State LA
Zip Code 70443-2470

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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

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NPI Name Taxonomy Address Enumeration
1497969687 Cuyahoga County Bd of Mrdd Intermediate Care Facility, Mentally Retarded 4711 E Sprague Rd, Independence, OH 44131-6227 2007-05-09
1770126161 Koinonia Community Services LLC Intermediate Care Facility, Mentally Retarded 4711 E Sprague Rd, Independence, OH 44131-6227 2019-10-18

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1427613371 Lisa Williams Intermediate Care Facility, Mentally Retarded 1202 St. Maurice Ave, New Orleans, LA 70117-7011 2019-05-07
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1669867545 Wendover Community Home Intermediate Care Facility, Mentally Retarded 4607 Wendover Blvd, Alexandria, LA 71303-2528 2015-03-30
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1619277290 Allied Healthcare LLC Intermediate Care Facility, Mentally Retarded 1495 Gardena Dr, New Orleans, LA 70122-1913 2010-10-28
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Competitor

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City INDEPENDENCE
Zip Code 70443

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Dataset Information

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.

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