STC ADDICTION WELLNESS CENTER, INC. (NPI# 1093726978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093726978 |
| Entity Type | Organization |
| Organization Name | STC ADDICTION WELLNESS CENTER, INC. |
| Other Organization Name | ST. CHRISTOPHERS |
| Practice Address |
150 Cora Dr Baton Rouge LA 70815-4201 |
| Practice Telephone | 2253871611 |
| Practice Fax Number | 2253435300 |
| Mailing Telephone | 2253871611 |
| Mailing Fax Number | 2253435300 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | ANGELA N BADEAUX (FINANCIAL OFFICE MANAGER) |
| Authorized Official Telephone | 2253871611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 203 | LA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| St. Christophers | Doing Business As Name - Organization |
| Street Address |
150 CORA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70815-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064667 | Michael Ramos | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-19 |
| 1851902167 | Greg Allen Tiritilli | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-11 |
| 1730790049 | Teague Rasmussen | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2020-08-11 |
| 1275003774 | Joel Salvaggio | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-28 |
| 1497225890 | Micha Scholes | Social Worker | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-28 |
| 1710457304 | Trevor Flener | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| 1629548201 | Stephen Zachaary Knippenberg | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| 1578033163 | Jacob Peltier | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-27 |
| 1134699747 | Crystal Loup | Counselor | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2018-11-27 |
| 1194295774 | Adam Singer | Counselor | 150 Cora Dr, Baton Rouge, LA 70815 | 2018-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338343 | Gods Gift Transportation Service | Non-emergency Medical Transport (VAN) | 12333 Flordia Blvd, Suite A, Baton Rouge, LA 70815 | 2020-08-27 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1821592924 | Best Choice Transportation LLC | Non-emergency Medical Transport (VAN) | 2035 Wooddale Ave., Baton Rouge, LA 70815 | 2018-03-22 |
| 1679085609 | Kevia Neshell Green | Case Manager/Care Coordinator | 211 Antrim Dr Apt C, Baton Rouge, LA 70815 | 2017-10-31 |
| 1104349828 | Priscilla Carter | Case Manager/Care Coordinator | 9726 West Coronado Drive, Baton Rouge, LA 70815 | 2017-07-25 |
| 1023545902 | Krystal Ross | Counselor | 9420 Lindale Ave Ste A&b, Baton Rouge, LA 70815 | 2017-05-22 |
| 1679014351 | Daniel Joseph Woods | Counselor | 12459 Goodwood Blvd, Baton Rouge, LA 70815 | 2017-03-15 |
| 1073058319 | April Coleman | Case Manager/Care Coordinator | 11534 E Black Oak Dr, Baton Rouge, LA 70815 | 2016-12-22 |
| 1407213499 | Earnestine Payne | Counselor | 1314 S Mike Dr, Baton Rouge, LA 70815 | 2016-01-21 |
| Find all providers in zip 70815 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690811 | Elevate Recovery Project, LLC | Substance Abuse Rehabilitation Facility | 7742 Office Park Blvd Ste C2, Baton Rouge, LA 70809-8636 | 2020-08-19 |
| 1801430962 | Baton Rouge Recovery Health LLC | Substance Abuse Rehabilitation Facility | 3600 Florida Blvd Ste 4t, Baton Rouge, LA 70806-3842 | 2019-11-01 |
| 1346707080 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 7434 Picardy Ave Ste A&b, Baton Rouge, LA 70808-7204 | 2019-03-01 |
| 1700237237 | The Grove of La, LLC | Substance Abuse Rehabilitation Facility | 2645 Oneal Ln Bldg C, Suite C, Baton Rouge, LA 70816-3179 | 2016-06-27 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1053684381 | Louisiana Health and Rehab Center Inc | Substance Abuse Rehabilitation Facility | 2056 North Blvd, Baton Rouge, LA 70806-3674 | 2012-02-16 |
| 1871865857 | Louisiana Health and Rehab Center Inc | Substance Abuse Rehabilitation Facility | 2245 Pocahontas St, Baton Rouge, LA 70802-3237 | 2012-02-06 |
| 1629633193 | Serenity Treatment Center of Louisiana LLC | Substance Abuse Rehabilitation Facility | 2325 Weymouth Dr, Baton Rouge, LA 70809-1481 | 2019-05-09 |
| 1497115513 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 7434 Picardy Ave, Suite A&b, Baton Rouge, LA 70808 | 2016-03-02 |
| 1851719009 | The Serenity Center of Louisiana | Substance Abuse Rehabilitation Facility | 2325 Weymouth Dr, Baton Rouge, LA 70809-1481 | 2014-04-04 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70815 |
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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.