IVY SPRINGS COMMUNITY HOME – NPI #1710150446
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

IVY SPRINGS COMMUNITY HOME is a residential treatment facility located in INDEPENDENCE, LA. NPPES has assigned the NPI number 1710150446 to IVY SPRINGS COMMUNITY HOME on April 02, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IVY SPRINGS COMMUNITY HOME” is a dba name, the actual legal business name for this organization is NORTHLAKE SUPPORTS AND SERVICES CENTER. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IVY SPRINGS COMMUNITY HOME below.

NPI Profile for
NORTHLAKE SUPPORTS AND SERVICES CENTER

NPI Number
1710150446
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHLAKE SUPPORTS AND SERVICES CENTER
Doing Business As (dba): IVY SPRINGS COMMUNITY HOME
Primary location
27683 IVY SPRINGS DRIVE
INDEPENDENCE, LA 70443
Phone: (225) 567-3111 Fax:
Mailing address
45439 LIVE OAK DR
HAMMOND, LA 70401-4526
Phone: (225) 567-3111 Fax:
Organization Subpart
Yes - IVY SPRINGS COMMUNITY HOME is subpart of another organization.
Authorized Official
RONALD WILLIAMS
ADMINISTRATOR
Phone: (225) 567-3111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.