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ST. GENEVIVE HEALTH CARE SERVICES, INC.
NPI 1154547578
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Shreveport, LA

Active since April 17, 2007
3003 KNIGHT ST, SUITE 123, SHREVEPORT, LA 71105(318) 219-4101 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Genevive Health Care Services, Inc. NPPES

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

ST. GENEVIVE HEALTH CARE SERVICES, INC. (NPI 1154547578) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Shreveport, Louisiana and active in the NPI registry since April 2007. The organization lists Tina Graham, Director, as its authorized official.

NPPES Registry Identity

NPI1154547578
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameST. GENEVIVE HEALTH CARE SERVICES, INC.
Location Address3003 KNIGHT ST, SUITE 123Shreveport, LA 71105-2507
Mailing Address6009 Financial Plz Ste 101Shreveport, LA 71129-2615 · (318) 221-2566
Phone(318) 219-4101
Organization SubpartNo
Authorized OfficialTina GrahamDirector · (318) 219-4101
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1154547578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in LA · RC 7049
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3003 KNIGHT ST, Shreveport, LA 71105
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Other Identifiers 1

Medicaid1505480LA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASUM MEDICAL SUPPLY, INC.
Durable Medical Equipment & Medical Supplies
3003 KNIGHT ST, #149
SHREVEPORT, LA 71105
Caddo Parish (318) 862-2471
DEEANDRIEZ WALLACE
Counselor (Mental Health)
3003 KNIGHT ST, SUITE 115
SHREVEPORT, LA 71105
Caddo Parish (318) 614-7314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Genevive Health Care Services, Inc.'s NPI number?

The NPI number for St. Genevive Health Care Services, Inc. is 1154547578. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is St. Genevive Health Care Services, Inc. located?

St. Genevive Health Care Services, Inc. is located at 3003 Knight St Suite 123, Shreveport, LA 71105. The listed phone number is (318) 219-4101.

What is St. Genevive Health Care Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for St. Genevive Health Care Services, Inc. was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.