Active NPI
Colwell Interest, Inc.
Doing business as Poland Community Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Alexandria, LA
National Provider Identifier
1407042567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 485
- Legal business name
- COLWELL INTEREST, INC.
- Doing business as
- Poland Community Home
- Practice address
- 3004 Highway 457
Alexandria, LA 71302-9255 - Phone
- (318) 442-5266
- Fax
- (318) 442-5266
- NPI assigned
- Sep 21, 2007
- Last updated
- Apr 9, 2008
- Organization subpart
- Yes
- Parent organization
- COLWELL INTEREST, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James B. Colwell
- Title
- Program Manager
- Phone
- (318) 442-2284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 485 | LA | Primary |
Addresses
Primary practice location
3004 Highway 457
Alexandria, LA 71302-9255
Mailing address
1111 Main St
Pineville, LA 71360-6423
Phone (318) 442-2284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1717169 | Medicaid | LA |
Other names 1
- Poland Community Home
National Provider Directory
National Provider Directory- Tax ID family
- Pineville Adult Day Care
- Part of
- Pineville Adult Day Care
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Pineville, LA
- NPI 1700137288
-
dba Pineville Adult Day Care
- Developmentally Disabled Services Day Training Agency
- Pineville, LA
- NPI 1720339203
-
dba Oak Run Community Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Ball, LA
- NPI 1013233246
-
dba Wesleyan Community Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pineville, LA
- NPI 1417120536
-
dba Gibbs Street Community Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mansfield, LA
- NPI 1710215264
-
dba Central Grant Community Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Colfax, LA
- NPI 1790958965
-
dba Pecan Grove Community Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mansfield, LA
- NPI 1801124284
-
dba Lakeview Community Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Columbia, LA
- NPI 1952574063
-
- Developmentally Disabled Services Day Training Agency
- Pineville, LA
- NPI 1891071957
Locations
3004 Highway 457
Alexandria, LA 71302
Phone (318) 442-5266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1407042567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MAIN ST",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713606423",
"telephone_number": "318-442-2284",
"fax_number": "318-448-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 HIGHWAY 457",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713029255",
"telephone_number": "318-442-5266",
"fax_number": "318-442-5266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLWELL INTEREST, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COLWELL INTEREST, INC.",
"enumeration_date": "2007-09-21",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "COLWELL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "318-442-2284",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "LA",
"license": "485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1717169",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Poland Community Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, LA
- Wesley Coleman
- George Robert Collins, D.O.
- Kelly K Collins, NP
- Katherine Colson
- Kimberly Wall Colston, PMHNP
- Comm Care Corp Dba (DBA Cmhc of Alexandria)
- Communicate for Life
- Community Care Center of Alexandria, LLC (Heritage Manor of Alexandria Rehab & Nursing Center)
- Community Solutions Inc
- Compass Behavioral Center of Alexandria
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.