Benton Street Home
LBN: Community Bridges South
Benton Street Home is an health care organization with primary practice located at 1400 Benton St , Ruston LA 71270-5404. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
Community Bridges South can be contacted via phone (318) 255-1937, or through Reynolds, Michael L via phone (318) 255-1937.
Contact Information
Primary practice address
1400 Benton St
Ruston LA 71270-5404
Phone: (318) 255-1937
Fax: (318) 255-8233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | 1010 | Louisiana |
Profile Details
| NPI number | 1770619876 |
|---|---|
| LBN Legal business name | Community Bridges South |
| DBA Doing business as | Benton Street Home |
| Authorized official | Reynolds, Michael L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770619876 | NPPES |
| Louisiana | MEDICAID | 1710008 |
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