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ROOSEVELT COMMUNITY HOME
NPI 1174766364
Intermediate Care Facility, Intellectual Disabilities in Alexandria, LA

Active since April 17, 2009
1605 TEXAS AVE, ALEXANDRIA, LA 71301(318) 443-9330(318) 443-9359 Get Directions Write a Review

NPPES record last updated: November 7, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Roosevelt Community Home NPPES

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

ROOSEVELT COMMUNITY HOME (NPI 1174766364) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Alexandria, Louisiana and active in the NPI registry since April 2009. The organization lists Christina Bonnette Bolton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174766364
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameROOSEVELT COMMUNITY HOME
Location Address1605 TEXAS AVEAlexandria, LA 71301-4050
Mailing AddressPo Box 7917Alexandria, LA 71306-0917 · (318) 445-1551 · Fax (318) 445-1242
Phone(318) 443-9330
Fax(318) 443-9359
Organization SubpartYesParent: Westside Habilitation Center
Authorized OfficialChristina Bonnette BoltonAdministrator · (318) 445-1551
Enumeration DateApril 17, 2009
Last NPPES UpdateNovember 7, 2009
✔ NPI 1174766364 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
License✔ Licensed in LA · 1054
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1605 TEXAS AVE, Alexandria, LA 71301
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Other Identifiers 1

Medicaid19G654LA

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 Roosevelt Community Home's NPI number?

The NPI number for Roosevelt Community Home is 1174766364. It was assigned to this organization in the NPPES registry on April 17, 2009.

Where is Roosevelt Community Home located?

Roosevelt Community Home is located at 1605 Texas Ave, Alexandria, LA 71301. The listed phone number is (318) 443-9330.

What is Roosevelt Community Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Roosevelt Community Home was last updated on November 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.