Organization Active NPI

Colwell Interest Inc

Doing business as Pineville Adult Day Care

  • Developmentally Disabled Services Day Training Agency
  • Pineville, LA
National Provider Identifier
1720339203
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2203781096-A Issued in LA
Legal business name
COLWELL INTEREST INC
Doing business as
Pineville Adult Day Care
Practice address
1407 Oakland St
Pineville, LA 71360-5167
Phone
(318) 473-0582
Fax
(318) 473-0582
NPI assigned
Sep 25, 2012
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Mr. James B Colwell
Title
Owner
Phone
(318) 442-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2203781096-A LA Primary

Addresses

Primary practice location

1407 Oakland St
Pineville, LA 71360-5167

Mailing address

1111 Main St
Pineville, LA 71360-6423
Phone (318) 442-2284

Other identifiers 1

IdentifierTypeStateIssuer
2203781096-AMedicaidLA

Other names 1

  • Pineville Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pineville Adult Day Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1407 Oakland St
Pineville, LA 71360
Phone (318) 442-2284

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1720339203",
    "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": "1407 OAKLAND ST",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605167",
            "telephone_number": "318-473-0582",
            "fax_number": "318-473-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLWELL INTEREST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "COLWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-442-2284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "2203781096-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203781096-A",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineville Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.