Provider Type Icon

CENTRAL LOUISIANA RESOURCE CENTER NPI 1528365517


NPI Information

NPI: 1528365517
Provider Name: CENTRAL LOUISIANA RESOURCE CENTER

Former Legal Business Name: PINECREST DEVELOPMENTAL CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 19D1098173

Address:
2006 GUS KAPLAN DR
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 487-5395
Get Directions

CENTRAL LOUISIANA RESOURCE CENTER is a residential treatment facility, intellectual and/or developmental disabilities in Alexandria, 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. CENTRAL LOUISIANA RESOURCE CENTER NPI is 1528365517. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pinecrest Developmental Center.

The provider's business location address is:

2006 GUS KAPLAN DR
ALEXANDRIA, LA
ZIP 71301-376
Phone: (318) 487-5395
Fax: (318) 487-5463

The provider's authorized official is Paxton E Oliver .
The authorized official title is Administrator and has the following contact phone number (318) 487-5395.

The CLIA number assigned to this NPI record is 19D1098173 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2011 and was last updated on 2/28/2011.


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 Disabilities991000271LOUISIANAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.