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NPI Code Detail

MEDICARE: AB GROUP HOME

MEDICARE: AB GROUP HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
2315P00000XIntellectual Disabilities Intermediate Care Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609149103
Entity Type Code : Organization
Provider Name (Legal Business Name) : AB GROUP HOME
Provider Business Mailing Address
First Line : 2736 FLORIDA ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2719
Country : US
Telephone Number : 225-383-9139
Fax Number : 225-336-4861
Provider Business Practice Location Address
First Line : 1306 MAIN ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-4660
Country : US
Telephone Number : 225-336-0349
Fax Number : 225-336-5409
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. COLLIS BENTON TEMPLE JR.
Credential :
Telephone Number : 225-383-9139
Provider Enumeration Date : 02/14/2012
Last Update Date : 10/22/2025

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Directions to “AB GROUP HOME ” Practice Location

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