La First Street, LLC
Organization Active NPI Skilled Nursing Facility · Springhill, LA
NPI 1821684432 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1821684432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LA FIRST STREET, LLC
- Practice address
- 215 1St St NE
Springhill, LA 71075-3217 - Phone
- (318) 539-3527
- NPI assigned
- Dec 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Roy B Bridges
- Title
- Authorized Agent
- Phone
- (727) 330-2801
Practitioners 2
-
Michelle Pardue, M.D.
-
David Juston Colvin, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2230519 | Springhill Post Acute and Memory Care | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
215 1St St NE
Springhill, LA 71075-3217
Mailing address
24641 US Highway 19 N
Clearwater, FL 33763-5007
Phone (727) 210-0781
Other names
- Springhill Post Acute & Memory Care
Other providers in Springhill, LA
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- Samuel S Holladay
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- Basavapunna R Kaza
- Kevin Trenouth Kellow
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- Matthew Wilson Lane
- Katie Lana Lincoln
- Vincent Bryan Lococo
- Louisiana Homecare of Minden, LLC
All providers in Springhill, LA · Skilled Nursing Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.