HAVEN'S GATEWAY PERSONAL CARE FACILITY INC (NPI# 1194991851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194991851 |
| Entity Type | Organization |
| Organization Name | HAVEN'S GATEWAY PERSONAL CARE FACILITY INC |
| Practice Address |
1200 S Acadian Thruway Suite 211 Baton Rouge LA 70806-6900 |
| Practice Telephone | 2253434741 |
| Practice Fax Number | 2253434742 |
| Mailing Telephone | 2253434741 |
| Mailing Fax Number | 2253434742 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MRS. ALFREDA JACKSON (DIRECTOR) |
| Authorized Official Telephone | 2253434741 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 6770 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1028657 | 05 |
| Street Address |
1200 S ACADIAN THRUWAY SUITE 211 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194834390 | Jackie Denese Powell | Counselor | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2006-08-30 |
| 1174165930 | Vankeiatre' Marie Anthony | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2019-10-14 |
| 1144783531 | Jennifer Holmes | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2019-04-11 |
| 1386102820 | Lauren Rose Haynes Nobles | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2019-03-04 |
| 1609347228 | De'ja Watson | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2018-12-07 |
| 1295204584 | Kourtney Danielle Dillon | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2018-11-16 |
| 1992271431 | Ana Victorian | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2018-10-23 |
| 1104307891 | Mallory Wardell Williams | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2018-08-22 |
| 1679053144 | Ashanti Netanya Smith | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2018-08-15 |
| 1386137339 | True Brown | Case Manager/Care Coordinator | 1200 S Acadian Thruway, Baton Rouge, LA 70806-6900 | 2018-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103503 | Association Retarded Citizens Baton Rouge | Day Training, Developmentally Disabled Services | 12616 Jefferson Hwy, Baton Rouge, LA 70816-6248 | 2020-01-07 |
| 1457756736 | Jasmine Care, LLC | Day Training, Developmentally Disabled Services | 9151 Interline Ave, Suite 6b, Baton Rouge, LA 70809-1970 | 2014-10-28 |
| 1659619955 | Bethesda Adult Daycare Center, LLC | Day Training, Developmentally Disabled Services | 2289 Balis Dr, Baton Rouge, LA 70808-1742 | 2013-01-21 |
| 1982949400 | Horizon Management LLC | Day Training, Developmentally Disabled Services | 5246 Evangeline St, Suite A, Baton Rouge, LA 70805-3637 | 2012-12-10 |
| 1497026041 | Frances Center for Customized Employment | Day Training, Developmentally Disabled Services | 9337 Corsica Ave, Baton Rouge, LA 70810-1132 | 2012-01-12 |
| 1902105414 | Natural Embraces Adult Day Care LLC | Day Training, Developmentally Disabled Services | 6081 W Perimeter Dr, Baton Rouge, LA 70811-6340 | 2011-03-23 |
| 1134384746 | Revdoc LLC | Day Training, Developmentally Disabled Services | 6844 Van Gogh Ave, Baton Rouge, LA 70806-2764 | 2008-07-23 |
| 1518137231 | Above and Beyond | Day Training, Developmentally Disabled Services | 1986 Dallas Dr Ste 3, Baton Rouge, LA 70806-1400 | 2008-03-10 |
| 1528241387 | New Life Christian Healthcare Services | Day Training, Developmentally Disabled Services | 1713 Wooddale Blvd Ste 34, Baton Rouge, LA 70806-1570 | 2007-12-14 |
| 1205018892 | Diversified Rehabilitation Service | Day Training, Developmentally Disabled Services | 11760 S Harrells Ferry Rd, Ste G, Baton Rouge, LA 70816-2374 | 2007-12-05 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on HAVEN'S GATEWAY PERSONAL CARE FACILITY INC.
| 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.