DDMS OF LOUISIANA NO 2, LLC
NPI 1083582449
Intermediate Care Facility, Intellectual Disabilities in Ponchatoula, LA

Active since October 27, 2025
42460 PELICAN DR, PONCHATOULA, LA 70454(504) 513-3159 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ddms Of Louisiana No 2, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DDMS OF LOUISIANA NO 2, LLC (NPI 1083582449) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ponchatoula, Louisiana and active in the NPI registry since October 2025. The organization lists Mary Patricia Rodenberg-roberts, Vp & Sr Asst General Counsel, as its authorized official.

NPPES Registry Identity

NPI1083582449
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameDDMS OF LOUISIANA NO 2, LLC
Location Address42460 PELICAN DRPonchatoula, LA 70454-9209
Mailing Address6600 France Ave S Ste 350Edina, MN 55435-1810 · (800) 388-5150
Organization SubpartNo
Authorized OfficialMary Patricia Rodenberg-robertsVp & Sr Asst General Counsel · (952) 836-2234
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1083582449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

42460 PELICAN DR, Ponchatoula, LA 70454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083582449, enumerated as an "organization" on October 27, 2025.

The provider is located at 42460 PELICAN DR PONCHATOULA, LA 70454 and the phone number is (504) 513-3159.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.