Provider Demographics
NPI:1538554423
Name:WEST POINTE COMMUNITY HOME
Entity type:Organization
Organization Name:WEST POINTE COMMUNITY HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-445-1635
Mailing Address - Street 1:6218 W POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2000
Mailing Address - Country:US
Mailing Address - Phone:318-487-8891
Mailing Address - Fax:318-448-8099
Practice Address - Street 1:6218 W POINTE BLVD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2000
Practice Address - Country:US
Practice Address - Phone:318-445-1635
Practice Address - Fax:318-473-0490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities