IDAHO STREET COMMUNITY HOME
NPI 1306983721
Intermediate Care Facility, Mental Illness in Kenner, LA

NPI Status: Active since February 01, 2007

Contact Information

3235 IDAHO AVE
KENNER, LA
ZIP 70065
Phone: (504) 443-5570

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About IDAHO STREET COMMUNITY HOME

This page provides the complete NPI Profile along with additional information for Idaho Street Community Home, a provider established in Kenner, Louisiana operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1306983721 assigned on February 2007. The practitioner's primary taxonomy code is 310500000X with license number 962 (LA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Idaho Street Community Home. The authorized official of this NPI record is Mr. James E. Richardson (C.e.o.)

NPI
1306983721
Provider Legal Name
ALLIED HEALTH CARE, L.L.C.
Other Organization Name
IDAHO STREET COMMUNITY HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3235 IDAHO AVE KENNER, LA 70065
Location Phone
(504) 443-5570
Mailing Address
715 MAIN ST PINEVILLE, LA 71360
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2007
Last Update Date
08-22-2020
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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, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
License No.
962
License State
LA
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

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

MR. JAMES E. RICHARDSON

Authorized Official Title
C.E.O.
Authorized Official Phone
(318) 445-6470

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
1719064MEDICAID (05)LA 

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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.
1306983721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306188674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 8 + 8 + 6 + 7 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1306983721 is valid because the calculated check digit 1 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.

DDMS OF LOUISIANA NO 2, LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3235 IDAHO AVE
KENNER, LA
ZIP 70065

(504) 712-1323

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306983721, enumerated as an "organization" on February 01, 2007.

The provider is located at 3235 IDAHO AVE KENNER, LA 70065 and the phone number is (504) 443-5570.

Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

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