1. Home
  2. Directory
  3. Louisiana
  4. Boyce
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
NPI 1174136527
Intermediate Care Facility, Intellectual Disabilities in Boyce, LA

Active since August 26, 2020
1901 HUIE DELLMON AVE, BOYCE, LA 71409(318) 445-6443 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2026, Aug 26, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Intermediate Care Facility, Intellectual...

About ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES

This page provides the complete NPI Profile along with additional information for St. Mary's Residential Community And Services, a provider established in Boyce, Louisiana operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1174136527 assigned on August 2020. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Khristy Ellis (Controller)

NPI
1174136527 Verify this NPI
Provider Name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Entity Type
Organization
Location Address
1901 HUIE DELLMON AVE BOYCE, LA 71409
Location Phone
(318) 445-6443
Mailing Address
PO BOX 7768 ALEXANDRIA, LA 71306
Mailing Phone
(318) 445-6443
Mailing Fax
(318) 449-8520
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-26-2020
Last Update Date
04-07-2026
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KHRISTY ELLIS

Authorized Official Title
CONTROLLER
Authorized Official Phone
(318) 445-6443

Reviews for ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1174136527, enumerated as an "organization" on August 26, 2020.

Where is the provider located?

The provider is located at 1901 HUIE DELLMON AVE BOYCE, LA 71409 and the phone number is (318) 445-6443.

What is the provider's specialty?

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