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NPI 1174766364ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Alexandria, LA
Intermediate Care Facility, Intellectual Disabilities in Alexandria, Louisiana, registered in NPPES in April 2009, part of Westside Habilitation Center. The authorized official on file is Christina Bonnette Bolton, Administrator.
Overview
| NPI | 1174766364 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Westside Habilitation Center |
| NPI issued | Apr 17, 2009 |
| Last updated in NPPES | Nov 7, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 1054 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 37 Intermediate Care Facility, Intellectual Disabilities providers in Alexandria · All Intermediate Care Facility, Intellectual Disabilities providers in Louisiana