NPIMap

Organization Active NPI

Department of Health and Hospitals

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
National Provider Identifier
1386601425
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
012 Issued in LA
Legal business name
DEPARTMENT OF HEALTH AND HOSPITALS
Practice address
6240 Greenwood Rd
Shreveport, LA 71119-8413
Phone
(318) 632-2010
Fax
(318) 632-2055
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
George Sewell
Title
Facility Manager
Phone
(318) 632-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 012 LA Primary

Addresses

Primary practice location

6240 Greenwood Rd
Shreveport, LA 71119-8413

Mailing address

6240 Greenwood Rd
Shreveport, LA 71119-8413
Phone (318) 632-2010

Other names 1

  • Pines Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Child Adolescent Mental31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1386601425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711198413",
            "telephone_number": "318-632-2010",
            "fax_number": "318-632-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711198413",
            "telephone_number": "318-632-2010",
            "fax_number": "318-632-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "318-632-2010"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.