DUNDEE COMMUNITY HOME – NPI #1790801264
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.

DUNDEE COMMUNITY HOME is a residential treatment facility located in BOSSIER CITY, LA. NPPES has assigned the NPI number 1790801264 to DUNDEE COMMUNITY HOME on March 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUNDEE COMMUNITY HOME” is a dba name, the actual legal business name for this organization is LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC. 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.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 DUNDEE COMMUNITY HOME below.

NPI Profile for
LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC

NPI Number
1790801264
Enumeration Date

(more than 19 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
LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC
Doing Business As (dba): DUNDEE COMMUNITY HOME
Primary location
2901 DOUGLAS DR
BOSSIER CITY, LA 71111-5807
Phone: (337) 439-6600 Fax: (337) 439-6647
Mailing address
1 LAKESHORE DR
SUITE 1900
LAKE CHARLES, LA 70629-0100
Phone: (337) 439-6600 Fax: (337) 439-6647
Organization Subpart
No
Authorized Official
KENDALL BROUSSARD
MANAGING MEMBER
Phone: (337) 439-6600
Updated
Identifiers

Identifiers for DUNDEE COMMUNITY HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1718726
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)
LA 969

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.