NORTHWEST SUPPORTS AND SERVICES CENTER NPI 1730307133

NPI Information

  • NPI: 1730307133
  • Provider Name: NORTHWEST SUPPORTS AND SERVICES CENTER
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Former Legal Business Name: NORTHWEST LOUISIANA DEVELOPMENTAL CENTER
  • Address: 5401 SHED RD
    BOSSIER CITY, LA
    ZIP 71111
  • Phone: (318) 741-5230

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NPI Details

NORTHWEST SUPPORTS AND SERVICES CENTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Bossier City, LA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. NORTHWEST SUPPORTS AND SERVICES CENTER NPI is 1730307133. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northwest Louisiana Developmental Center.

The provider's business location address is:

5401 SHED RD
BOSSIER CITY, LA
ZIP 71111-420
Phone: (318) 741-5230
Fax: (318) 741-5303

The provider's authorized official is David Colvin .
The authorized official title is Administrator and has the following contact phone number (318) 741-5200.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 2/27/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesSIL 12595LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11567230MEDICAIDLOUISIANA
21156752MEDICAIDLOUISIANA
31156761MEDICAIDLOUISIANA
41408182MEDICAIDLOUISIANA
51712035MEDICAIDLOUISIANA

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: 3/30/2025

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