Organization · Type 2 NPI

Volunteers of America Southeast Louisiana, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hammond, LA

NPI number 1386816387 Active

Practice location

10273 Amelia Lane
Hammond, LA 70403-7211

Call (225) 364-3753 Map

Fax (225) 304-4195

Mailing address

4152 Canal Street
New Orleans, LA 70119-5941

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	709 (LA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

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NPI record

NPI: 1386816387
Entity type: Organization (Type 2)
Issued: Mar 31, 2008
Last updated: Sep 23, 2024
Status: Active
Subpart: Yes of Volunteers of America Southeast Louisiana, Inc.

Other names

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Volunteers of America Greater New Orleans, Inc. · former legal business name
Creekwood Community Home · other name

Authorized official

Jason Burt
EVP of Enterprise & Administration
(504) 486-8674

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386816387

Volunteers of America Southeast Louisiana, Inc.'s National Provider Identifier is 1386816387, issued on Mar 31, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Hammond, LA. The record was last updated on Sep 23, 2024.