Organization
ST. GENEVIVE HEALTH CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA GRAHAM (DIRECTOR)
(318) 219-4101
Entity
Organization
Contact information
Practice address
6009 FINANCIAL PLZ STE 101, SHREVEPORT, LA 71129-2615
(318) 221-2566
Mailing address
6009 FINANCIAL PLZ STE 101, SHREVEPORT, LA 71129-2615
(318) 221-2566
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
PCA 11980
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1379018
—
LA
Enumeration date
04/17/2007
Last updated
10/15/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up