Healthcare Provider Details

I. General information

NPI: 1104655646
Provider Name (Legal Business Name): HAWKINS ADULT DAY HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 ELM ST
BASTROP LA
71220-5915
US

IV. Provider business mailing address

1510 ELM ST
BASTROP LA
71220-5915
US

V. Phone/Fax

Practice location:
  • Phone: 225-588-7505
  • Fax: 833-466-1805
Mailing address:
  • Phone: 225-588-7505
  • Fax: 833-466-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY D HAWKINS-HALL
Title or Position: ADMINISTRATOR
Credential:
Phone: 225-588-7505