Pinecrest Developmental Center in Pineville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Pinecrest Developmental Center - NPI 1679756324
Pinecrest Developmental Center is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Pineville, Louisiana. Pinecrest Developmental Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Pinecrest Developmental Center is 1679756324. The last update date is 2007-12-17.
Pinecrest Developmental Center's current location address is Po Box 5191, Pineville, Louisiana. You can contact this provider via phone number 3186412000 and fax number 3186412309. The mailing address for Pinecrest Developmental Center is Po Box 5191, Pineville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pinecrest Developmental Center |
|---|---|
| Address | Po Box 5191, Pineville, Louisiana |
| Phone Number | 3186412000 |
| Fax Number | 3186412309 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MR DD REGI |
|---|---|
| Authorized Official Name | Evans A Sherri |
| Telephone Number | 3186412003 |
NPI Number Detail
| NPI Number | 1679756324 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | Po Box 5191 |
|---|---|
| City | Pineville |
| State | Louisiana (LA) |
| Post Code | 713615191 |
| Phone Number | 3186412000 |
| Fax Number | 3186412309 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 1612 |
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Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identification code issued to Pinecrest Developmental Center by the Centers for Medicare & Medicaid Services?
The Pinecrest Developmental Center has been assigned the NPI (National Provider Identifier) 1679756324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Pinecrest Developmental Center's facilities are geographically located?
The facilities of Pinecrest Developmental Center are physically situated at the following location: Po Box 5191, Pineville, LA, 713615191.
What is Pinecrest Developmental Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pinecrest Developmental Center's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679756324 to Pinecrest Developmental Center?
The Pinecrest Developmental Center received its 1679756324 assignment from the Centers for Medicare & Medicaid Services on 2007-12-17.
As of what date were the details related to Pinecrest Developmental Center most recently updated or revised?
The information pertaining to Pinecrest Developmental Center, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-17.