Holy Angels Residential Facility is a
Behavior Analyst based in Shreveport, Louisiana. Holy Angels Residential Facility is licensed to practice in * (Not Available) (license number ) and their current practice location is
10450 Ellerbe Rd, Shreveport, Louisiana. It can be reached at their office (for appointments etc.) via phone at
(318) 797-8500.
NPI number for Holy Angels Residential Facility is 1578014387 and their current mailing address is 10450 Ellerbe Rd, Shreveport, Louisiana. Holy Angels Residential Facility
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578014387.
Healthcare Provider's Profile
Full Name | Holy Angels Residential Facility |
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Type | Facility |
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Speciality | Behavior Analyst |
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Location | 10450 Ellerbe Rd, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578014387
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 05/27/2022
Medical Identifiers
Medical identifiers for Holy Angels Residential Facility such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578014387 | NPI | - | NPPES |
2431641 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holy Angels Residential Facility is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Holy Angels Residential Facility 10450 Ellerbe Rd, Shreveport, LA 71106-7712 Ph: (318) 797-8500 | Holy Angels Residential Facility 10450 Ellerbe Rd, Shreveport, LA 71106-7712 Ph: (318) 797-8500 |
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