TWENTY-THIRD STREET COMMUNITY HOME
NPI 1356495485
Intermediate Care Facility, Intellectual Disabilities in Lake Charles, LA
- Organization
- Intermediate Care Facility, Intellectual...
About TWENTY-THIRD STREET COMMUNITY HOME
This page provides the complete NPI Profile along with additional information for Twenty-third Street Community Home, a provider established in Lake Charles, Louisiana operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1356495485 assigned on January 2007. The practitioner's primary taxonomy code is 315P00000X with license number 747 (LA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Twenty-third Street Community Home. The authorized official of this NPI record is John R Taylor (President)
- NPI
- 1356495485 Verify this NPI
- Provider Legal Name
- EVERGREEN PRESBYTERIAN MINISTRIES, INC.
- Other Organization Name
- TWENTY-THIRD STREET COMMUNITY HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1701 23RD ST LAKE CHARLES, LA 70601
- Location Phone
- (337) 474-7252
- Mailing Address
- 2101 HIGHWAY 80 HAUGHTON, LA 71037
- Mailing Phone
- (318) 949-5500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2007
- Last Update Date
- 06-13-2008
- 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
- License No.
- 747
- License State
- LA
- 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.
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 |
|---|---|---|---|
| 1713023 | MEDICAID (05) | LA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356495485, enumerated as an "organization" on January 23, 2007.
The provider is located at 1701 23RD ST LAKE CHARLES, LA 70601 and the phone number is (337) 474-7252.
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.
