OrganizationActive
Havens Gateway Personal Care Facility Inc
NPI 1346409943 · Child Intellectual and/or Developmental Disabilities Respite Care · Baton Rouge, LA
Provider details
- NPI number
- 1346409943
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Alfreda Jackson, Director Administrator(225) 343-4740
- License
- RC 13015 (LA)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense RC 13015 (LA)
Respite Care Facility
Practice location
1200 S Acadian Thruway
212
Baton Rouge, LA 70806-6900
Phone: (225) 343-4740
Fax: (225) 343-4742
Approximate (ZIP-level) locationGet directions
Mailing address
1200 S Acadian Thruway
Baton Rouge, LA 70806-6900
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2008-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.