BAYOU STATE HEALTH SERVICES – NPI #1790963189
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.

BAYOU STATE HEALTH SERVICES is a community based residential treatment facility located in POLLOCK, LA. NPPES has assigned the NPI number 1790963189 to BAYOU STATE HEALTH SERVICES on February 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BAYOU STATE HEALTH SERVICES is also known by the name ROBERTSON ROAD COMMUNITY HOME. 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 18 years ago on Feb 08, 2008. 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 BAYOU STATE HEALTH SERVICES below.

NPI Profile for
BAYOU STATE HEALTH SERVICES

NPI Number
1790963189
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
BAYOU STATE HEALTH SERVICES
Other Name: ROBERTSON ROAD COMMUNITY HOME
Primary location
550 ROBERTSON RD
POLLOCK, LA 71467-3800
Phone: (318) 641-9900 Fax: (318) 641-9991
Mailing address
PO BOX 1098
BALL, LA 71405-1098
Phone: (318) 641-9900 Fax: (318) 641-9991
Organization Subpart
No
Authorized Official
ALFRED COUTEE
OWNER/OPERATOR
Phone: (318) 641-9900
Updated
Identifiers

Identifiers for BAYOU STATE HEALTH SERVICES

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
MEDICAIDLA1713635
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
LA 810

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.