CHARLES PARK COMMUNITY HOME – NPI #1598980096
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
CHARLES PARK COMMUNITY HOME is a community based residential treatment facility located in ALEXANDRIA, LA. NPPES has assigned the NPI number 1598980096 to CHARLES PARK COMMUNITY HOME on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHARLES PARK COMMUNITY HOME” is a dba name, the actual legal business name for this organization is PINECREST DEVELOPMENTAL CENTER. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based 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 CHARLES PARK COMMUNITY HOME below.
NPI Profile for
PINECREST DEVELOPMENTAL CENTER
(more than 19 years ago)
ALEXANDRIA, LA 71303-2415 Phone: (318) 442-4655 Fax: (318) 641-2309
PINEVILLE, LA 71361-5191 Phone: (318) 442-4655 Fax: (318) 641-2309
MR DD REGIONAL ADMINISTRATOR
Phone: (318) 641-2003
Identifiers for CHARLES PARK 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | LA | 1712337 |
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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
LA | 949 |
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.