LOUIS INFANT CRISIS CENTER


Address: 221 El Paso Dr, Houma, LA 70360-7309
Phone: 9858724984

LOUIS INFANT CRISIS CENTER (NPI# 1124376165) 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) 1124376165
Entity Type Organization
Organization Name LOUIS INFANT CRISIS CENTER
Other Organization Name EL PASO HOUSE
Practice Address 221 El Paso Dr
Houma
LA 70360-7309
Mailing Address Po Box 2866
Houma
LA 70361-2866
Practice Telephone 9858724984
Practice Fax Number 9858720017
Mailing Telephone 9858724984
Mailing Fax Number 9858720017
Enumeration Date 2012-08-23
Last Update Date 2012-08-23
Authorized Official Name ROSARIO O'CONNELL (ADMINISTRATOR)
Authorized Official Telephone 9858724984
Is Organization Subpart Y
Parent Organization Name BAYOU AREA CHILDREN'S FOUNDATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 11609 LA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA NON-MEDICAL GROUP HOME CONTRACTING WITH MAGELLAN FOR MEDICAID RE 00000000 01

Other Provider/Organization Names

Other Name Type Code
El Paso House Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114280989 Louis Infant Crisis Center Respite Care 107 Midland Dr, Houma, LA 70360-6229 2012-06-18
1811259476 Louis Infant Crisis Center Residential Treatment Facility, Emotionally Disturbed Children 3511 Bayou Black Dr, Houma, LA 70360-2302 2012-06-11

Office Location

Street Address 221 EL PASO DR
City HOUMA
State LA
Zip Code 70360-7309

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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811259476 Louis Infant Crisis Center Residential Treatment Facility, Emotionally Disturbed Children 3511 Bayou Black Dr, Houma, LA 70360-2302 2012-06-11

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1912476482 Gbc Hope Residential Treatment Facility, Emotionally Disturbed Children 311 South 1st Street, Monroe, LA 71201 2018-11-14
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Competitor

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City HOUMA
Zip Code 70360

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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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