ROOSEVELT COMMUNITY HOME (NPI# 1174766364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174766364 |
| Entity Type | Organization |
| Organization Name | ROOSEVELT COMMUNITY HOME |
| Practice Address |
1605 Texas Ave Alexandria LA 71301-4050 |
| Mailing Address |
Po Box 7917 Alexandria LA 71306-0917 |
| Practice Telephone | 3184439330 |
| Practice Fax Number | 3184439359 |
| Mailing Telephone | 3184451551 |
| Mailing Fax Number | 3184451242 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-11-07 |
| Authorized Official Name | CHRISTINA BONNETTE BOLTON (ADMINISTRATOR) |
| Authorized Official Telephone | 3184451551 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTSIDE HABILITATION CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 1054 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 19G654 | 05 |
| Street Address |
1605 TEXAS AVE |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-4050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| 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 |
|---|---|---|---|---|
| 1669867545 | Wendover Community Home | Intermediate Care Facility, Mentally Retarded | 4607 Wendover Blvd, Alexandria, LA 71303-2528 | 2015-03-30 |
| 1538554423 | West Pointe Community Home | Intermediate Care Facility, Mentally Retarded | 6218 W Pointe Blvd, Alexandria, LA 71303-2000 | 2015-03-30 |
| 1306089594 | Cleveland Community Home | Intermediate Care Facility, Mentally Retarded | 5621 Hera St, Alexandria, LA 71303-2212 | 2009-04-17 |
| 1437392628 | Mckinley Group Home | Intermediate Care Facility, Mentally Retarded | 6500 Masonic Dr, Alexandria, LA 71301-2321 | 2009-04-17 |
| 1013150200 | Taft Community Home | Intermediate Care Facility, Mentally Retarded | 4314 Whitefield Blvd, Alexandria, LA 71303-2925 | 2009-04-17 |
| 1548400617 | Garfield Group Home | Intermediate Care Facility, Mentally Retarded | 1263 Enterprise Road, Alexandria, LA 71303 | 2009-03-02 |
| 1225278427 | Harding Community Home | Intermediate Care Facility, Mentally Retarded | 520 Westwind Dr, Alexandria, LA 71303-3800 | 2009-02-27 |
| 1972755502 | Hayes Community Home | Intermediate Care Facility, Mentally Retarded | 3811 Lisa St, Alexandria, LA 71302-2520 | 2008-10-14 |
| 1033378781 | Taylor Group Home | Intermediate Care Facility, Mentally Retarded | 5635 Navaho Trl, Alexandria, LA 71301-2853 | 2008-06-07 |
| 1760641419 | Johnson Community Home | Intermediate Care Facility, Mentally Retarded | 1103 Lancaster Dr, Alexandria, LA 71303-3129 | 2008-06-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.