NPIMap

Organization Active NPI

Leesville Developmental Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Leesville, LA
National Provider Identifier
1194944124
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
698 Issued in LA
Legal business name
LEESVILLE DEVELOPMENTAL CENTER
Practice address
510 Curtis St
Leesville, LA 71446-3806
Phone
(337) 238-6454
NPI assigned
Apr 25, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Tommy Brooks
Title
Facility Services Director
Phone
(337) 239-2687

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
La Best Operation (11 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 698 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

510 Curtis St
Leesville, LA 71446-3806

Mailing address

PO Box 131
Leesville, LA 71496-0131
Phone (337) 239-2687

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1712272MedicaidLA

Other names 1

NPPES NPI Registry
  • Ray Charles Smith Community Home Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2008.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1194944124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714960131",
            "telephone_number": "337-239-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CURTIS ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714463806",
            "telephone_number": "337-238-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESVILLE DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "FACILITY SERVICES DIRECTOR",
        "authorized_official_telephone_number": "337-239-2687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712272",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray Charles Smith Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.