NPIMap

Organization Active NPI

Pinecrest Supports and Services Center

Doing business as Oak Run Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ball, LA
National Provider Identifier
1609053727
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1023 Issued in LA
Legal business name
PINECREST SUPPORTS AND SERVICES CENTER
Doing business as
Oak Run Community Home
Practice address
224 Robertson Rd
Ball, LA 71405-3863
Phone
(318) 640-3955
Fax
(318) 640-3955
NPI assigned
Jan 31, 2008
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Sherri A Evans
Title
Mr DD Regional Administrator
Phone
(318) 641-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1023 LA Primary

Addresses

Primary practice location

224 Robertson Rd
Ball, LA 71405-3863

Mailing address

P. O. Box 5191
Attention: Qmi
Pineville, LA 71361-5191
Phone (318) 641-2000

Other names 1

  • Oak Run Community Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinecrest Developmental Center19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1609053727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 5191",
            "address_2": "ATTENTION: QMI",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713615191",
            "telephone_number": "318-641-2000",
            "fax_number": "318-641-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ROBERTSON RD",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714053863",
            "telephone_number": "318-640-3955",
            "fax_number": "318-640-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST SUPPORTS AND SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MR DD REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "318-641-2003"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Run Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ball, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.