NPIMap

Organization Active NPI

Northwest Supports and Services Center

  • Early Intervention Provider Agency
  • Bossier City, LA
National Provider Identifier
1871732628
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NORTHWEST SUPPORTS AND SERVICES CENTER
Practice address
5401 Shed Rd
Bossier City, LA 71111-5420
Phone
(318) 741-5230
Fax
(318) 741-5303
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Mr. David Colvin
Title
Administrator
Phone
(318) 741-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

5401 Shed Rd
Bossier City, LA 71111-5420

Mailing address

5401 Shed Rd
Bossier City, LA 71111-5420
Phone (318) 741-5230

Other names 1

  • Northwest Louisiana Developmental Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Northwest Louisiana Developmental Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1871732628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115420",
            "telephone_number": "318-741-5230",
            "fax_number": "318-741-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115420",
            "telephone_number": "318-741-5230",
            "fax_number": "318-741-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SUPPORTS AND SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-741-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Louisiana Developmental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.