COLWELL INTEREST, INC. (NPI# 1013233246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013233246 |
| Entity Type | Organization |
| Organization Name | COLWELL INTEREST, INC. |
| Other Organization Name | OAK RUN COMMUNITY HOME |
| Practice Address |
224 Robertson Rd Ball LA 71405-3863 |
| Mailing Address |
1111 Main St Pineville LA 71360-6423 |
| Practice Telephone | 3186403933 |
| Practice Fax Number | 3184481427 |
| Mailing Telephone | 3184422284 |
| Mailing Fax Number | 3184481427 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | MR. JAMES B. COLWELL (ADMINISTRATOR) |
| Authorized Official Telephone | 3184422284 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLWELL INTEREST, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Oak Run Community Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801124284 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 167 Poole Rd, Mansfield, LA 71052-5007 | 2009-11-24 |
| 1710215264 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Gibbs St, Mansfield, LA 71052-2618 | 2009-11-20 |
| 1417120536 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1621 Susek Dr, Pineville, LA 71360-5483 | 2008-04-09 |
| 1790958965 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7992 Highway 8, Colfax, LA 71417-6026 | 2008-04-09 |
| 1952574063 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Highway 4 E, Columbia, LA 71418-3512 | 2008-04-09 |
| 1407042567 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3004 Highway 457, Alexandria, LA 71302-9255 | 2007-09-21 |
| Street Address |
224 ROBERTSON RD |
| City | BALL |
| State | LA |
| Zip Code | 71405-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609053727 | Pinecrest Supports and Services Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 Robertson Rd, Ball, LA 71405-3863 | 2008-01-31 |
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| 1306967435 | Thompson Bros Investments LLC | Technician | 4811 Monroe Hwy, Ball, LA 71405 | 2007-04-03 |
| 1841663895 | Angela Nickole Solomito Pugh | Midwife | 6709 Monroe Hwy, Ball, LA 71405-3227 | 2015-11-12 |
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| 1740479310 | Devinder K. Verma M.d. | Internal Medicine | 6118 Monroe Hwy Ste B, Ball, LA 71405-3251 | 2007-10-19 |
| 1720086812 | Rajinder Verma | Family Medicine | 6118 Monroe Hwy, Ball, LA 71405-3251 | 2005-07-12 |
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| 1780723841 | Guardian Angels Care Services, Inc. | Day Training, Developmentally Disabled Services | 104 Morgan St, Ball, LA 71405-3306 | 2007-02-05 |
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| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609053727 | Pinecrest Supports and Services Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 Robertson Rd, Ball, LA 71405-3863 | 2008-01-31 |
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|---|---|---|---|---|
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.