Lincoln Nova Vital Recovery Center,LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LINCOLN NOVA VITAL RECOVERY CENTER,LLC

Practice address

4396 Highway 80
Ruston, LA 71270-8948

Phone

(318) 251-4659

Fax

(318) 251-4659

NPI assigned

Dec 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Denny E. Gamble Jr., FACHCA

Title

Owner

Phone

(318) 251-4659

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/aura_lincoln

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Susan Colbert, LPC LCSW

  • Social Worker
  • Shreveport, LA
  • NPI 1316003940
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1043780851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 BUSINESS PARK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055654",
            "telephone_number": "318-251-4659",
            "fax_number": "318-251-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 HIGHWAY 80",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708948",
            "telephone_number": "318-251-4659",
            "fax_number": "318-251-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN NOVA VITAL RECOVERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-251-4659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FACHCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "251S00000X",
            "identifier": "1336348317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Health System (Lincoln General Hospital)
• Lincoln Health System (Lincoln General Hospital)
• Lincoln Health System (Lincoln General Hospital)
• Lincoln Medical Clinic LLC
• Lincoln Nova Vital Recovery
• Lincoln Outpatient Therapy Services
• Lincoln Parish Police Jury (Humanitarian Enterprises of Lincoln Parish)
• Lincoln Parish Police Jury
• Lincoln Parish School Board
• Lincoln Parish School Board

• Substance Abuse Rehabilitation Facility in Ruston, LA
• Providers in Ruston, LA by specialty
• Substance Abuse Rehabilitation Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.