Braswell Lane Home

LBN: Community Bridges South, Inc.
Braswell Lane Home is an health care organization with primary practice located at 560 Braswell Lane , Simsboro LA 71275. 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, Inc. can be contacted via phone (318) 255-1937, or through Reynolds, Mike L. via phone (318) 255-1937.

Contact Information

Primary practice address
560 Braswell Lane Simsboro LA 71275
Phone: (318) 255-1937
Fax: (318) 255-8233
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Mike L.
Phone: (318) 255-1937

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 1038 Louisiana

Profile Details

NPI number 1346376084
LBN Legal business name Community Bridges South, Inc.
DBA Doing business as Braswell Lane Home
Authorized official Reynolds, Mike 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346376084 NPPES
Louisiana MEDICAID 1710008

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