# HAVEN'S GATEWAY PERSONAL CARE FACILITY, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215196811
- **Authorized official:** MRS. ALFREDA CARTER JACKSON B.A. (PRESIDENT/C.E.O.)
- **Authorized official phone:** (225) 343-4740

## Contact information

- **Practice address:** 1200 S ACADIAN THRUWAY, 212, BATON ROUGE, LA 70806-6900
- **Practice address phone:** (225) 343-4740
- **Practice address fax:** (225) 343-4742
- **Mailing address:** 1200 S ACADIAN THRUWAY, 212, BATON ROUGE, LA 70806-6900
- **Mailing address phone:** (225) 343-4740
- **Mailing address fax:** (225) 343-4742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | PCA 6770 | LA | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008