ST. GENEVIVE HEALTH CARE SERVICES, INC. (NPI# 1841414489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841414489 |
| Entity Type | Organization |
| Organization Name | ST. GENEVIVE HEALTH CARE SERVICES, INC. |
| Practice Address |
3848 Independence Dr Suite A Alexandria LA 71303-3533 |
| Practice Telephone | 3184434141 |
| Mailing Telephone | 3184434141 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISTY RYDER (DIRECTOR) |
| Authorized Official Telephone | 3182194101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | RC 7040 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1458643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427274851 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1447474135 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3032 Jackson St, Alexandria, LA 71301-4743 | 2007-04-12 |
| 1194941518 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1245456664 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3848 Independence Dr, Suite A, Alexandria, LA 71303-3533 | 2007-04-17 |
| 1154547578 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1629294053 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| 1194941526 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3003 Knight St, Suite 123, Shreveport, LA 71105-2507 | 2007-04-17 |
| Street Address |
3848 INDEPENDENCE DR SUITE A |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245456664 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3848 Independence Dr, Suite A, Alexandria, LA 71303-3533 | 2007-04-17 |
| 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 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005886 | Transformational Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8401 Leaf Rd, Alexandria, VA 22309-1707 | 2018-12-20 |
| 1952880015 | Quintessence Resources, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3318 Memorial St, Alexandria, VA 22306-1545 | 2018-08-09 |
| 1023518289 | Communitty Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7979 Alexandria Pike, Alexandria, KY 41001-1157 | 2018-02-14 |
| 1407042567 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3004 Highway 457, Alexandria, LA 71302-9255 | 2007-09-21 |
| 1306062328 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 Kimball Ave, Alexandria, LA 71301-5005 | 2007-04-18 |
| 1457576977 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3207 Madonna Dr, Alexandria, LA 71301-4816 | 2007-04-17 |
| 1598980096 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 528 Bob White Ln, Alexandria, LA 71303-2415 | 2007-04-17 |
| 1447474135 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3032 Jackson St, Alexandria, LA 71301-4743 | 2007-04-12 |
| 1386727329 | Icon Community Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1240 N Pitt St, Suite Ll, Alexandria, VA 22314-5600 | 2006-10-23 |
| 1316272628 | Salvation Academy | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4810 Beauregard St, Suite G1-4, Alexandria, VA 22312-1709 | 2009-10-05 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
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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.