PONDEROSA GROUP HOME
NPI 1275804577
Intermediate Care Facility, Intellectual Disabilities in Baton Rouge, LA

NPI Status: Active since January 18, 2012

Contact Information

624 PONDEROSA DR
BATON ROUGE, LA
ZIP 70819
Phone: (225) 778-5278

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  • Intermediate Care Facility, Intellectual...

About PONDEROSA GROUP HOME

This page provides the complete NPI Profile along with additional information for Ponderosa Group Home, a provider established in Baton Rouge, Louisiana operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1275804577 assigned on January 2012. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Ponderosa Group Home. The authorized official of this NPI record is Ms. Deena G. Ombres (Assoc. Gen. Counsel/privacy Officer)

NPI
1275804577
Provider Legal Name
NORMAL LIFE OF LAFAYETTE, INC.
Other Organization Name
PONDEROSA GROUP HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
624 PONDEROSA DR BATON ROUGE, LA 70819
Location Phone
(225) 778-5278
Mailing Address
9901 LINN STATION RD LOUISVILLE, KY 40223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2012
Last Update Date
01-18-2012
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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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. DEENA G. OMBRES

Authorized Official Title
ASSOC. GEN. COUNSEL/PRIVACY OFFICER
Authorized Official Phone
(502) 394-2100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1717291OTHER (01)LAVENDOR #
888OTHER (01)LAOLD LICENSE NO.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275804577
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451608514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 0 + 8 + 5 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1275804577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

LOUISIANA CNI, LLC

Intermediate Care Facility, Intellectual Disabilities

624 PONDEROSA DR
BATON ROUGE, LA
ZIP 70819

(225) 275-3932

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275804577, enumerated as an "organization" on January 18, 2012.

The provider is located at 624 PONDEROSA DR BATON ROUGE, LA 70819 and the phone number is (225) 778-5278.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.