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LOUISE S DAVIS RESIDENTIAL FACILITIES LLC NPI 1447376926


NPI Information

NPI: 1447376926
Provider Name: LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC

Doing Business As: NEWCASTLE COMMUNITY HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1411 CLAIBORNE AVE
SHREVEPORT, LA
ZIP 71103
Phone: (337) 439-6600
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LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Shreveport, LA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC NPI is 1447376926. The provider is registered as an organization entity type.
The provider Is Doing Business As Newcastle Community Home.

The provider's business location address is:

1411 CLAIBORNE AVE
SHREVEPORT, LA
ZIP 71103-203
Phone: (337) 439-6600
Fax: (337) 439-6647

The provider's authorized official is Kendall A Broussard .
The authorized official title is Managing Member and has the following contact phone number (337) 439-6600.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities973LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11711004MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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