Simba Ventures Hospital la, LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

SIMBA VENTURES HOSPITAL LA, LLC

Practice address

1130 Louisiana Ave
Shreveport, LA 71101-3908

Phone

(318) 227-1211

Fax

(318) 678-4112

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark R. Pfeil

Title

Chief Financial Officer

Phone

(972) 265-3115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctors' Hospital Shreveport Doing business as

Locations

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1699966432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013908",
            "telephone_number": "318-227-1211",
            "fax_number": "318-678-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013908",
            "telephone_number": "318-227-1211",
            "fax_number": "318-678-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMBA VENTURES HOSPITAL LA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "PFEIL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "972-265-3115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1749150",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors' Hospital Shreveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey W Silmon, D.D.S.
• Roberto Fidel Silva Aguiar, MD
• Silver Lining Non-Emergency Transportation LLC
• Sam Ray Silverblatt, O.D.
• Simba Ventures Hospital la, LLC
• Florette Sime, M.D.
• Simeon H. Wall, MD a Professional Medical Corp
• Deborah Collinsworth Simmons, M.C.D.
• Erica Nicole Simmons, MHP
• Kesha Simmons, LPC

• Psychiatric Hospital Unit in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatric Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.