OrganizationActive
Fphsa
NPI 1104376342 · Substance Abuse Rehabilitation Facility · Mandeville, LA
Provider details
- NPI number
- 1104376342
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nadine Faciane, Program Director(985) 624-4100
- License
- 960733 (LA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23515 Highway 190
Mandeville, LA 70448-7334
Phone: (985) 624-4100
Fax: (985) 624-4123
Street-level locationGet directions
Mailing address
Po Box 37
Mandeville, LA 70470-0037
Registry dates
- Enumerated
- 2016-10-12
- Last updated
- 2016-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.