WENDOVER COMMUNITY HOME


Address: 4607 Wendover Blvd, Alexandria, LA 71303-2528
Phone: 3184451635

WENDOVER COMMUNITY HOME (NPI# 1669867545) 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) 1669867545
Entity Type Organization
Organization Name WENDOVER COMMUNITY HOME
Practice Address 4607 Wendover Blvd
Alexandria
LA 71303-2528
Practice Telephone 3184451635
Practice Fax Number 3184730490
Mailing Telephone 3184451635
Mailing Fax Number 3184730490
Enumeration Date 2015-03-30
Last Update Date 2015-04-23
Authorized Official Name MR. EARL HUMPHRIES (OWNER)
Authorized Official Telephone 3184451635
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Office Location

Street Address 4607 WENDOVER BLVD
City ALEXANDRIA
State LA
Zip Code 71303-2528

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346877370 Victoria Bowie Peer Specialist 1405 Peterman Drive Suite A, Alexandria, LA 71303 2020-03-27
1396375051 Christin Authement Social Worker 8326 Kelwood Avenue, Alexandria, LA 71303 2020-01-22
1164904520 Carissa A Sorenson Pharmacist 4448 Jackson St, Alexandria, LA 71303 2018-09-02
1144731027 Bradly Herman Counselor 1450 Peterman Drive, Alexandria, LA 71303 2017-10-18
1669991915 Rashika Holmes Counselor 1538 Chase Dr, Alexandria, LA 71303 2017-09-18
1215466594 Terraniecya Shepherd Case Manager/Care Coordinator 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 2017-06-08
1427587864 Jason Micheal Lachica Counselor 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 2017-06-08
1669929188 Ryan Knoll Chiropractor 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 2016-09-01
1023464393 Heart of Hospice, LLC Hospice Care, Community Based 1001 Bayou Pl, Alexandria, LA 71303 2016-05-05
1770947764 Jiquiah White Counselor 2016 Innis Dr, Alexandria, LA 71303 2016-04-06
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1174766364 Roosevelt Community Home Intermediate Care Facility, Mentally Retarded 1605 Texas Ave, Alexandria, LA 71301-4050 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
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Competitor

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City ALEXANDRIA
Zip Code 71303

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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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