Provider Demographics
NPI:1154105286
Name:BALDWIN SUPPORTIVE HOUSING SERVICE
Entity type:Organization
Organization Name:BALDWIN SUPPORTIVE HOUSING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOMEMAKER
Authorized Official - Prefix:
Authorized Official - First Name:CARNELL
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-314-5532
Mailing Address - Street 1:6665 DORCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-1729
Mailing Address - Country:US
Mailing Address - Phone:504-314-5532
Mailing Address - Fax:
Practice Address - Street 1:7212 WARFIELD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-4258
Practice Address - Country:US
Practice Address - Phone:504-460-3056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes177F00000XOther Service ProvidersLodging
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty