=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790812345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOOD MANAGEMENT GROUP, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 625 FRANKLIN STREET
-----------------------------------------------------
City | GRETNA
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70053-2115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-361-0301
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 791905
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70179-1905
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-361-0301
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MISS CARLA D. HOOD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 504-361-0301
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number | SIL 9840
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------