ST. MARY'S RESIDENTIAL TRAINING SCHOOL (NPI# 1174136527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174136527 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S RESIDENTIAL TRAINING SCHOOL |
| Practice Address |
1901 Huie Dellmon Ave Boyce LA 71409-9329 |
| Mailing Address |
Po Box 7768 Alexandria LA 71306-0768 |
| Practice Telephone | 3184456443 |
| Mailing Telephone | 3184456443 |
| Mailing Fax Number | 3184498520 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | CHRISTINA M GUILLOT (ADMINISTRATOR) |
| Authorized Official Telephone | 3184456443 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY'S RESIDENTIAL TRAINING SCHOOL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bishop Ronald P Herzog Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136535 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 1903 Huie Dellmon Ave, Boyce, LA 71409-9329 | 2020-08-26 |
| 1649406968 | St. Mary's Residential Training School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6715 Highway 1, Boyce, LA 71409-9221 | 2009-06-01 |
| 1447894241 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 6715 Highway 1, Boyce, LA 71409-9221 | 2019-11-05 |
| 1073157871 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 6715 Highway 1, Boyce, LA 71409-9221 | 2019-11-05 |
| 1982248787 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 6715 Highway 1, Boyce, LA 71409-9221 | 2019-11-05 |
| 1609410414 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 6715 Highway 1, Boyce, LA 71409-9221 | 2019-11-05 |
| 1114561016 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 6715 Highway 1, Boyce, LA 71409-9221 | 2019-11-04 |
| 1184268187 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 6715 Hwy 1 North, Unit 1801, Boyce, LA 71409 | 2019-11-01 |
| 1710292891 | St. Mary's Residential Training School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6715 Highway 1, Boyce, LA 71409-9221 | 2010-08-12 |
| Street Address |
1901 HUIE DELLMON AVE |
| City | BOYCE |
| State | LA |
| Zip Code | 71409-9329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984070 | Boyce Family Clinic and Urgent Care LLC | Clinic/Center | 513 Ulster St., Boyce, LA 71409 | 2020-05-19 |
| 1992345250 | Mary Tokunboh | Pharmacist | 513 Ulster Ave, Boyce, LA 71409 | 2020-01-14 |
| 1033643523 | Christus Health Central Louisiana | Clinic/Center | 415 St. Clair Road, Suite B, Boyce, LA 71409 | 2017-04-12 |
| 1639619653 | Lil Boos Corner Store LLC | Pharmacy | 415 St. Clair Rd. Ste. C, Boyce, LA 71409 | 2017-02-24 |
| 1811360399 | Tequitra Gray | Counselor | 1028 Belgard Bnd, Boyce, LA 71409 | 2015-11-05 |
| 1427428655 | Richard Thibaut Djapni | Pharmacist | 513 Ulster St, Boyce, LA 71409 | 2015-09-30 |
| 1639488695 | Louis Andrew Juneau Jr. | Pharmacist | 415 St. Clair Rd Suite C, Boyce, LA 71409 | 2010-09-24 |
| 1245543768 | Katie Ann Kimpel | Registered Nurse | 415 Saint Clair Rd Ste B, Boyce, LA 71409 | 2010-07-26 |
| 1922321231 | Medicab, L.L.C. | Non-emergency Medical Transport (VAN) | 303 Sycamore Drive, Boyce, LA 71409 | 2010-03-02 |
| 1235312893 | St Marys Residential Training School | Intermediate Care Facility, Mentally Retarded | 6719 Hwy 1 North, Boyce, LA 71409 | 2007-12-06 |
| Find all providers in zip 71409 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136535 | St. Mary's Residential Training School | Intermediate Care Facility, Mentally Retarded | 1903 Huie Dellmon Ave, Boyce, LA 71409-9329 | 2020-08-26 |
| 1235312893 | St Marys Residential Training School | Intermediate Care Facility, Mentally Retarded | 6719 Hwy 1 North, Boyce, LA 71409 | 2007-12-06 |
| 1659565463 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 6715 Hwy 1 North, Boyce, LA 71409 | 2007-09-05 |
| 1124212931 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 6721 Hwy 1 North, Boyce, LA 71409 | 2007-09-05 |
| 1568656379 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 6725 Hwy 1 North, Boyce, LA 71409 | 2007-09-05 |
| 1669666475 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 1701 Madeley Avenue, Boyce, LA 71409-9312 | 2007-09-05 |
| 1104010909 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 1702 Madeley Avenue, Boyce, LA 71409-9312 | 2007-09-05 |
| 1750575569 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 1705 Madeley Avenue, Boyce, LA 71409-9312 | 2007-09-05 |
| 1932393741 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 6690 Antoinette Street, Boyce, LA 71409-9312 | 2007-09-05 |
| 1841484656 | St Marys Resd Training School | Intermediate Care Facility, Mentally Retarded | 6691 Antoinette Street, Boyce, LA 71409-9312 | 2007-09-05 |
| Find all providers in BOYCE | ||||
Please comment or provide details below to improve the information on ST. MARY'S RESIDENTIAL TRAINING SCHOOL.
| 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.