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JEFFERSON GROUP HOME
NPI 1821130717
Intermediate Care Facility, Intellectual Disabilities in Alexandria, LA

Active since February 14, 2007
1109 PRESIDENTS DRIVE, ALEXANDRIA, LA 71303(318) 473-2505(318) 473-2506 Get Directions Write a Review

NPPES record last updated: November 7, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jefferson Group Home NPPES

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

JEFFERSON GROUP HOME (NPI 1821130717) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Alexandria, Louisiana and active in the NPI registry since February 2007. The organization lists Christina Bonnette Bolton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821130717
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameJEFFERSON GROUP HOME
Location Address1109 PRESIDENTS DRIVEAlexandria, LA 71303
Mailing AddressPo Box 7917Alexandria, LA 71306-0917 · (318) 445-1551 · Fax (318) 445-1242
Phone(318) 473-2505
Fax(318) 473-2506
Organization SubpartYesParent: Westside Habilitation Center, Inc.
Authorized OfficialChristina Bonnette BoltonAdministrator · (318) 445-1551
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 7, 2009
✔ NPI 1821130717 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 · 946
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1109 PRESIDENTS DRIVE, Alexandria, LA 71303
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Other Identifiers 2

Medicaid19G574LA
Other1507211LA · Unisys

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 Jefferson Group Home's NPI number?

The NPI number for Jefferson Group Home is 1821130717. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Jefferson Group Home located?

Jefferson Group Home is located at 1109 Presidents Drive, Alexandria, LA 71303. The listed phone number is (318) 473-2505.

What is Jefferson Group Home'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 Jefferson Group Home was last updated on November 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.