Active NPI
Morning Light, Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Gibsland, LA
National Provider Identifier
1609081975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 798
- Legal business name
- MORNING LIGHT, INC
- Practice address
- 1618 Pearl Street
Gibsland, LA 71028 - Phone
- (318) 843-9007
- Fax
- (318) 247-5357
- NPI assigned
- May 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David W. Woods, CEO
- Title
- Administrator
- Phone
- (318) 251-0580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 798 | LA | Primary |
Addresses
Primary practice location
1618 Pearl Street
Gibsland, LA 71028
Mailing address
PO Box 548
Ruston, LA 71273-0548
Phone (318) 251-0580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1713490 | Medicaid | LA |
Other names 1
- GIBSLAND COMMUNITY HOME
National Provider Directory
National Provider Directory- Tax ID family
- Bernice Community Home
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Bernice, LA
- NPI 1326253097
-
- Day Training/Habilitation Specialist
- Ruston, LA
- NPI 1982521399
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Jonesboro, LA
- NPI 1962617282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609081975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "RUSTON",
"state": "LA",
"postal_code": "712730548",
"telephone_number": "318-251-0580",
"fax_number": "318-247-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 PEARL STREET",
"city": "GIBSLAND",
"state": "LA",
"postal_code": "71028",
"telephone_number": "318-843-9007",
"fax_number": "318-247-5357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING LIGHT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "318-251-0580",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "LA",
"license": "798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1713490",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GIBSLAND COMMUNITY HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gibsland, LA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.