ANDOVER GROUP HOME
NPI 1386760098
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Zachary, LA

Q: What is Louise S Davis Residential Facilities, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since March 22, 2007

22336 SUTTER LN, ZACHARY, LA 70791(225) 654-3897(225) 658-8396 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andover Group Home NPPES

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

ANDOVER GROUP HOME (NPI 1386760098) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Zachary, Louisiana and active in the NPI registry since March 2007. The organization lists Kendall A Broussard, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1386760098

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameLOUISE S DAVIS RESIDENTIAL FACILITIES, LLC

Location Address22336 SUTTER LNZachary, LA 70791-6003

Mailing Address1 Lakeshore Dr, Suite 1900Lake Charles, LA 70629-0100 · (337) 439-6600 · Fax (337) 439-6647

Phone(225) 654-3897

Fax(225) 658-8396

Organization SubpartNo

Authorized OfficialKendall A BroussardManaging Member · (337) 439-6600

Enumeration DateMarch 22, 2007

Last NPPES UpdateOctober 8, 2008

✔ NPI 1386760098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in LA · 966

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

22336 SUTTER LN, Zachary, LA 70791

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Other Names 1

Doing Business AsAndover Group Home

Other Identifiers 1

Medicaid1711071LA

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 Louise S Davis Residential Facilities, LLC's NPI number?

The NPI number for Louise S Davis Residential Facilities, LLC is 1386760098. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Andover Group Home.

Where is Louise S Davis Residential Facilities, LLC located?

Louise S Davis Residential Facilities, LLC is located at 22336 Sutter Ln, Zachary, LA 70791. The listed phone number is (225) 654-3897.

What is Louise S Davis Residential Facilities, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Louise S Davis Residential Facilities, LLC was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.