Edgewood Community Home
LBN: Pinecrest Developmental Center
Edgewood Community Home is an health care organization with primary practice located at 100 Pinecrest Drive , Pineville LA 71361. 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.
Pinecrest Developmental Center can be contacted via phone (318) 641-2000, or through Evans, Sherri A via phone (318) 641-2003.
Contact Information
Primary practice address
100 Pinecrest Drive
Pineville LA 71361
Phone: (318) 641-2000
Fax: (318) 641-2309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 955 | Louisiana |
Profile Details
| NPI number | 1336367085 |
|---|---|
| LBN Legal business name | Pinecrest Developmental Center |
| DBA Doing business as | Edgewood Community Home |
| Authorized official | Evans, Sherri A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1336367085 | NPPES |
| Louisiana | MEDICAID | 1712388 |
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