Louisiana Special Education Center

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

1712094 Issued in LA

Legal business name

LOUISIANA SPECIAL EDUCATION CENTER

Practice address

5400 Coliseum Blvd
Alexandria, LA 71303-3705

Phone

(318) 487-5484

Fax

(318) 487-5002

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Joiner

Title

Interim Director

Phone

(318) 484-2223

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568676286. Details of each certification follow.

• CCN 19G016 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G016

Legal name

Central Louisiana Supports and Services Center

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Sep 30, 1982

Last certification

Jan 16, 2025

Beds

90

Ownership / control type

State

Facility address

5400 Coliseum Blvd
Alexandria, LA 71303

Tax ID family

Louisiana Special Education Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Louisiana Special Education Center

  dba Transitional Family Life Center

  • Nursing Facility/Intermediate Care Facility
  • Alexandria, LA
  • NPI 1437378908
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Gurdon Buck, M.D.

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1063402667
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568676286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033705",
            "telephone_number": "318-487-5484",
            "fax_number": "318-487-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033705",
            "telephone_number": "318-487-5484",
            "fax_number": "318-487-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA SPECIAL EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOINER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "318-484-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "LA",
            "license": "1712094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712094",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana Pet Imaging of Alexandria, LLC
• Louisiana Physical Therapy Centers Inc
• Louisiana Professional Consulting, LLC (Acadian Oral Surgery)
• Louisiana Sleep Health, LLC
• Louisiana Special Education Center (Transitional Family Life Center)
• Louisiana State University Health Sciences Center (HPL Family Medicine Clinics)
• Shaundreca Love, PMHNP-BC
• Loving Hearts and Hands Agency
• Carlton E Lowe
• Beverly Sue Lowentritt, FNP

• Mental Illness Intermediate Care Facility in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Mental Illness Intermediate Care Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.