SHARKEY ROAD COMMUNITY HOME
NPI 1437374949
Intermediate Care Facility, Intellectual Disabilities in Tallulah, LA

Active since April 17, 2007
112 WALLACE RD, TALLULAH, LA 71282(318) 574-0455 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sharkey Road Community Home NPPES

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

SHARKEY ROAD COMMUNITY HOME (NPI 1437374949) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Tallulah, Louisiana and active in the NPI registry since April 2007. The organization lists Joe Debolt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1437374949
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCDF HEALTHCARE OF LA, LLC
Location Address112 WALLACE RDTallulah, LA 71282-7438
Mailing AddressPo Box 607Delhi, LA 71232-0607 · (318) 878-5106 · Fax (318) 878-8671
Organization SubpartNo
Authorized OfficialJoe DeboltAdministrator · (318) 878-5106
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 9, 2010
NPI 1437374949 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 · 977
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

112 WALLACE RD, Tallulah, LA 71282

Other Names 1

Doing Business AsSharkey Road Community Home

Other Identifiers 1

Medicaid1719609LA

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 Cdf Healthcare Of La, LLC's NPI number?

The NPI number for Cdf Healthcare Of La, LLC is 1437374949. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Cdf Healthcare Of La, LLC located?

Cdf Healthcare Of La, LLC is located at 112 Wallace Rd, Tallulah, LA 71282. The listed phone number is (318) 574-0455.

What is Cdf Healthcare Of La, LLC'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 Cdf Healthcare Of La, LLC was last updated on June 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.