1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

WILD OAK
NPI 1437378106
Intermediate Care Facility, Intellectual Disabilities in Shreveport, LA

Active since April 24, 2007
10450 ELLERBE RD, SHREVEPORT, LA 71106(318) 797-8500(318) 798-0159 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Wild Oak NPPES

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

WILD OAK (NPI 1437378106) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Shreveport, Louisiana and active in the NPI registry since April 2007. The organization lists Christina Landry Horne, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1437378106
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameHOLY ANGELS RESIDENTIAL FACILITY
Location Address10450 ELLERBE RDShreveport, LA 71106-7712
Mailing Address10450 Ellerbe RdShreveport, LA 71106-7712 · (318) 797-8500 · Fax (318) 798-0159
Phone(318) 797-8500
Fax(318) 798-0159
Organization SubpartNo
Authorized OfficialChristina Landry HorneDirector Of Finance · (318) 797-8500
Enumeration DateApril 24, 2007
Last NPPES UpdateMay 27, 20222 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1437378106 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
10450 ELLERBE RD, Shreveport, LA 71106
Open in Google Maps ↗

Other Names 1

Doing Business AsWild Oak

Other Identifiers 16

Medicaid1073732749LA
Medicaid1346469012LA
Medicaid1497173090LA
Medicaid1639345853LA
Medicaid1316165418LA
Medicaid1437378106LA
Medicaid1578014387LA
Medicaid1770750747LA
Medicaid1619196383LA
Medicaid1982823654LA
Medicaid1184843849LA
Medicaid1861747636LA
Medicaid1164641833LA
Medicaid1225256035LA
Medicaid1528287299LA
Medicaid1992924658LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLY ANGELS RESIDENTIAL FACILITY
Intermediate Care Facility, Intellectual Disabilities
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 797-8500
LIPIKA CHAKRABARTY
Behavior Technician
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 797-8500
HOLY ANGELS RESIDENTIAL FACILITY
Day Training, Developmentally Disabled Services
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 797-8500
HOLY ANGELS RESIDENTIAL FACILITY
Intermediate Care Facility, Intellectual Disabilities
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 797-8500
HOLY ANGELS RESIDENTIAL FACILITY
Intermediate Care Facility, Intellectual Disabilities
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 797-8500
HOLY ANGELS RESIDENTIAL FACILITY
In Home Supportive Care
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 423-6685
CHYNNA COLEMAN BCBA
Behavior Analyst
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 797-8500
HOLY ANGELS RESIDENTIAL FACILITY
Respite Care
10450 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 797-8500

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 Holy Angels Residential Facility's NPI number?

The NPI number for Holy Angels Residential Facility is 1437378106. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Wild Oak.

Where is Holy Angels Residential Facility located?

Holy Angels Residential Facility is located at 10450 Ellerbe Rd, Shreveport, LA 71106. The listed phone number is (318) 797-8500.

What is Holy Angels Residential Facility'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 Holy Angels Residential Facility was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.