Northwest Supports And Services Center in Bossier City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Northwest Supports And Services Center - NPI 1730307133
Northwest Supports And Services Center is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bossier City, Louisiana. Northwest Supports And Services Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Northwest Supports And Services Center is 1730307133. The last update date is 2009-02-27.
Northwest Supports And Services Center's current location address is 5401 Shed Rd, Bossier City, Louisiana. You can contact this provider via phone number 3187415230 and fax number 3187415303. The mailing address for Northwest Supports And Services Center is 5401 Shed Rd, Bossier City, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Supports And Services Center |
|---|---|
| Address | 5401 Shed Rd, Bossier City, Louisiana |
| Phone Number | 3187415230 |
| Fax Number | 3187415303 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Colvin David |
| Telephone Number | 3187415200 |
NPI Number Detail
| NPI Number | 1730307133 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2009-02-27 |
Provider Mailing Address Detail
| Address | 5401 Shed Rd |
|---|---|
| City | Bossier City |
| State | Louisiana (LA) |
| Post Code | 711115420 |
| Phone Number | 3187415230 |
| Fax Number | 3187415303 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | SIL 12595 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1408182 | LA | -- | |
| 1156752 | LA | -- | |
| 1156761 | LA | -- | |
| 1567230 | LA | -- | |
| 1712035 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Northwest Supports And Services Center by the Centers for Medicare & Medicaid Services?
The Northwest Supports And Services Center has been assigned the NPI (National Provider Identifier) 1730307133 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Northwest Supports And Services Center is physically located?
The Northwest Supports And Services Center is physically situated at the following address: 5401 Shed Rd, Bossier City, LA, 711115420.
What is Northwest Supports And Services Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Northwest Supports And Services Center is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Northwest Supports And Services Center receive its 1730307133 assignment from the Centers for Medicare & Medicaid Services?
The Northwest Supports And Services Center was assigned its 1730307133 by the Centers for Medicare & Medicaid Services on 2007-04-23.
When was the information regarding Northwest Supports And Services Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northwest Supports And Services Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-27.
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