Department of Health and Hospitals

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

012 Issued in LA

Legal business name

DEPARTMENT OF HEALTH AND HOSPITALS

Practice address

6240 Greenwood Rd
Shreveport, LA 71119-8413

Phone

(318) 632-2010

Fax

(318) 632-2055

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

George Sewell

Title

Facility Manager

Phone

(318) 632-2010

Specialties & licenses 1

Addresses

Other names 1

• Pines Treatment Center Continuing Care Services Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Department of Health and Hospitals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1023162096

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750348462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711198413",
            "telephone_number": "318-632-2010",
            "fax_number": "318-632-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711198413",
            "telephone_number": "318-632-2010",
            "fax_number": "318-632-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH AND HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "318-632-2010"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Treatment Center Continuing Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Shreveport, LA
• Substance Use Disorder Rehabilitation Clinic/Center in Louisiana

• 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.

Verify at the official NPI Registry.