DENA CHILDREN CENTER LLC (NPI# 1376192484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376192484 |
| Entity Type | Organization |
| Organization Name | DENA CHILDREN CENTER LLC |
| Practice Address |
1640 S Columbia St Bogalusa LA 70427-5800 |
| Mailing Address |
Po Box 159 Bogalusa LA 70429-0159 |
| Practice Telephone | 4106161074 |
| Mailing Telephone | 4106161074 |
| Mailing Fax Number | 9852410990 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | MR. MICHAEL GABOR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4106161074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
1640 S COLUMBIA ST |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114974151 | Balminder S Mangat | Psychiatry & Neurology | 1640 S Columbia St, Suite B, Bogalusa, LA 70427-5800 | 2006-05-27 |
| 1205459666 | Teresa Taylor | Counselor | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2020-05-20 |
| 1598240368 | Jessika Ann Scallion | Counselor | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2018-09-27 |
| 1215411079 | Amanda Lake Faulkner | Registered Nurse | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2018-09-18 |
| 1487137626 | Bogalusa Restoration Center, LLC | Foster Care Agency | 1640 S Columbia St, Bogalusa, LA 70427-5800 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292357 | Savoy Medical Management Group, Inc. | Psychiatric Residential Treatment Facility | 801 Poinciana Ave Ste 200, Mamou, LA 70554-2243 | 2020-10-15 |
| 1659630739 | Louisiana United Methodist Children & Family Services, Inc | Psychiatric Residential Treatment Facility | 3029 North Beglis Pkwy, Sulphur, LA 70663-0648 | 2012-05-10 |
| 1245535913 | New Directions of Lafayette LLC | Psychiatric Residential Treatment Facility | 310b Youngsville Hwy, Lafayette, LA 70508-4524 | 2011-01-11 |
| 1265670905 | Acadiana Addiction Center, LLC | Psychiatric Residential Treatment Facility | 156 Choctaw Rd, Sunset, LA 70584-5415 | 2009-02-03 |
| 1588744015 | Louisiana United Methodist Children & Family Services, Inc | Psychiatric Residential Treatment Facility | 904 Deville Lane, Ruston, LA 71270 | 2006-10-17 |
| 1497992390 | Louisiana United Methodist Children & Family Services, Inc | Psychiatric Residential Treatment Facility | 23515 Hwy 190, Mandeville, LA 70448-7334 | 2009-01-14 |
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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.