# VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Living Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164640868
- **Authorized official:** JASON BURT (EVP OF ENTERPRISE & ADMINISTRATION)
- **Authorized official phone:** (504) 486-8674

## Contact information

- **Practice address:** 4174 IBERVILLE ST, NEW ORLEANS, LA 70119-5139
- **Practice address phone:** (504) 835-3005
- **Practice address fax:** (504) 835-0409
- **Mailing address:** 4152 CANAL ST, NEW ORLEANS, LA 70119-5941
- **Mailing address phone:** (504) 835-3005
- **Mailing address fax:** (504) 835-0409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 22037801061 | LA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2203780145 | LA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 2203780169 | LA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 371 | LA | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 372 | LA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 637 | LA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6388 | LA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 709 | LA | — |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 09/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1716758 | CONSTANCE GROUP HOME | LA |
| 01 | — | 1716766 | IBERVILLE | LA |
| 01 | — | 1716774 | OLYMPIA PROVIDER \# | LA |
| 01 | — | 1716782 | PARK PLACE GROUP HOME | LA |
| 01 | — | 1716791 | SLIDELL HEIGHTS GROUP HOM | LA |
| 01 | — | 1718947 | VALLETTE GROUP HOME | LA |
| 01 | — | 1718955 | CHESTNUT | LA |
| 01 | — | 1719757 | CREEKWOOD GROUP HOME | LA |