Cleveland Community Home

Intermediate Care Facility, Intellectual Disabilities in Alexandria, LA. Organization (NPI-2).

NPI number1306089594

StatusActive

Last updated in NPPESNov 5, 2009

Details

NPI: 1306089594
Entity type: Organization (NPI-2)
Legal business name: Cleveland Community Home
Organization subpart: Yes
Enumeration date: Apr 17, 2009
Last updated: Nov 5, 2009

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
315P00000X	Intermediate Care Facility, Intellectual Disabilities	1052	LA	Yes

Practice location

5621 Hera St
Alexandria, LA 71303-2212

Phone 318-487-1249 · Fax 318-487-1248

Mailing address

Po Box 7917
Alexandria, LA 71306-0917

Phone 318-445-1551 · Fax 318-445-1242

Authorized official

Christina Bonnette Bolton
Administrator
3184451551

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Intellectual Disabilities Intermediate Care Facility providers in Alexandria, LA

All 37 Intellectual Disabilities Intermediate Care Facility providers in Alexandria · All 3,293 providers in Alexandria

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