Northwest Louisiana Developmental Center
LBN: Northwest Supports And Services Center
Northwest Louisiana Developmental Center is an health care organization with primary practice located at 5401 Shed Rd , Bossier City LA 71111-5420. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Northwest Supports And Services Center can be contacted via phone (318) 741-5230, or through Colvin, David via phone (318) 741-5200.
Contact Information
Primary practice address
5401 Shed Rd
Bossier City LA 71111-5420
Phone: (318) 741-5230
Fax: (318) 741-7303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 12703 | Louisiana |
Profile Details
| NPI number | 1558589952 |
|---|---|
| LBN Legal business name | Northwest Supports And Services Center |
| DBA Doing business as | Northwest Louisiana Developmental Center |
| Authorized official | Colvin, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 27th, 2009 - about 16 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 | 1558589952 | NPPES |
| Louisiana | MEDICAID | 1408182 | |
| Louisiana | MEDICAID | 1712035 | |
| Louisiana | MEDICAID | 1156761 | |
| Louisiana | MEDICAID | 1156752 | |
| Louisiana | MEDICAID | 1567230 |
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