Organization Active NPI

Poole Home & Retreat

  • Case Management Agency
  • Mansfield, LA
National Provider Identifier
1073403846
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
POOLE HOME & RETREAT
Practice address
167 Poole Rd
Mansfield, LA 71052-5007
Phone
(318) 750-6549
NPI assigned
Jul 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Authorized official

Name
Shambrical K Griffin
Title
Executive Director
Phone
(318) 750-6549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

167 Poole Rd
Mansfield, LA 71052-5007

Mailing address

1100 Trinity Way Apt B13
Ruston, LA 71270-7313
Phone (318) 750-6549

Other practice location 1

305 Oliece Dr
West Monroe, LA 71292-6621
Phone (318) 750-6549

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1073403846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRINITY WAY APT B13",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707313",
            "telephone_number": "318-750-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 POOLE RD",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710525007",
            "telephone_number": "318-750-6549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Oliece Dr",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712926621",
            "country_code": "US",
            "telephone_number": "318-750-6549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POOLE HOME & RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SHAMBRICAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-750-6549"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.