# UPGRADE GROUP HOME LLC

> 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
- **Other names:** Upgrade Group Home, LLC, Upgrade Group Home LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306481445
- **Authorized official:** DR. CARL WILLIAMS (DR OF THEOLOGY)
- **Authorized official phone:** (225) 394-9271

## Contact information

- **Practice address:** 3719 KATHERINE AVE, 3719 KATHERINE AVE, BATON ROUGE, LA 70805
- **Practice address phone:** (225) 394-9271
- **Mailing address:** 3719 KATHERINE AVE, 3719 KATHERINE AVE, BATON ROUGE, LA 70805
- **Mailing address phone:** (225) 394-9271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 11/13/2019