Colwell Interest, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1061 Issued in LA

Legal business name

COLWELL INTEREST, INC.

Doing business as

Gibbs Street Community Home

Practice address

416 Gibbs St
Mansfield, LA 71052-2618

Phone

(318) 442-2284

Fax

(318) 448-1427

NPI assigned

Nov 20, 2009

Last updated

Nov 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

COLWELL INTEREST, INC.As reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Gibbs Street Community Home Doing business as

Tax ID family

Pineville Adult Day Care10 organizations share this tax ID, including this one

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.

• Colwell Interest Inc

  • Developmentally Disabled Services Day Training Agency
  • Pineville, LA
  • NPI 1700137288
  NPD tax ID
• Colwell Interest Inc

  dba Pineville Adult Day Care

  • Developmentally Disabled Services Day Training Agency
  • Pineville, LA
  • NPI 1720339203
  NPD tax ID
• Colwell Interest, Inc.

  dba Oak Run Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ball, LA
  • NPI 1013233246
  NPD tax ID
• Colwell Interest, Inc.

  dba Poland Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Alexandria, LA
  • NPI 1407042567
  NPD tax ID
• Colwell Interest, Inc.

  dba Wesleyan Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pineville, LA
  • NPI 1417120536
  NPD tax ID
• Colwell Interest, Inc.

  dba Central Grant Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Colfax, LA
  • NPI 1790958965
  NPD tax ID
• Colwell Interest, Inc.

  dba Pecan Grove Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mansfield, LA
  • NPI 1801124284
  NPD tax ID
• Colwell Interest, Inc.

  dba Lakeview Community Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbia, LA
  • NPI 1952574063
  NPD tax ID
• Pineville Adult Day Care

  • Developmentally Disabled Services Day Training Agency
  • Pineville, LA
  • NPI 1891071957
  NPD tax ID

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1710215264",
    "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": "416 GIBBS ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522618",
            "telephone_number": "318-442-2284",
            "fax_number": "318-448-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLWELL INTEREST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLWELL INTEREST, INC.",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "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": "1061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719323",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibbs Street Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Javorius Rochey Canna
• Karla Chamberlin, LPC
• Christopher Shelby M D a Professional Medical Corporation
• Cognitive Institute Incorporated
• Daphne Coleman
• Colwell Interest, Inc. (Pecan Grove Community Home)
• Caitlyn Corley, DDS
• Council for Advancement of Social Service and Education (Casse/Community Health Institute)
• Council for the Advancement of Social Services and Education (CASSE Community Health Institute)
• Council for the Advancement of Social Servies and Education (Community Health Institute)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mansfield, LA
• Providers in Mansfield, LA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.