ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
NPI 1689244352
Intermediate Care Facility, Intellectual Disabilities in Boyce, LA

Active since June 25, 2021
2003 HUIE DELLMON AVE, BOYCE, LA 71409(318) 445-6443 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Jun 25, 2021 (2 updates tracked since 2021).

About St. Mary's Residential Community And Services NPPES

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

ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES (NPI 1689244352), doing business as Clarks Manor, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Boyce, Louisiana and active in the NPI registry since June 2021. The organization lists Khristy Ellis, Controller, as its authorized official.

NPPES Registry Identity

NPI1689244352
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Location Address2003 HUIE DELLMON AVEBoyce, LA 71409-9328
Mailing AddressPo Box 7768Alexandria, LA 71306-0768 · (318) 445-6443
Organization SubpartYes
Authorized OfficialKhristy EllisController · (318) 445-6443
Enumeration DateJune 25, 2021
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1689244352 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.
2003 HUIE DELLMON AVE, Boyce, LA 71409

Other Names 1

Doing Business AsClarks Manor

Other Identifiers 1

OtherMR0012749LA · Louisiana Department Of Health

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 St. Mary's Residential Community And Services's NPI number?

The NPI number for St. Mary's Residential Community And Services is 1689244352. It was assigned to this organization in the NPPES registry on June 25, 2021. The provider is doing business as Clarks Manor.

Where is St. Mary's Residential Community And Services located?

St. Mary's Residential Community And Services is located at 2003 Huie Dellmon Ave, Boyce, LA 71409. The listed phone number is (318) 445-6443.

What is St. Mary's Residential Community And Services'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 St. Mary's Residential Community And Services was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.