CENTRAL LA STATE HOSPITAL (NPI# 1215033535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215033535 |
| Entity Type | Organization |
| Organization Name | CENTRAL LA STATE HOSPITAL |
| Practice Address |
242 W Shamrock Ave Pineville LA 71360 |
| Mailing Address |
Po Box 5031 Pineville LA 71361-5031 |
| Practice Telephone | 3184846200 |
| Practice Fax Number | 3184846879 |
| Mailing Telephone | 3184846308 |
| Mailing Fax Number | 3184846879 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | RONALD G WILLIAMS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3184846201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 217 | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1710555 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831220706 | Central La State Hospital | Psychologist | 242 W Shamrock Ave, Pineville, LA 71360-6450 | 2007-03-09 |
| Street Address |
242 W SHAMROCK AVE |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823053 | Courtney Shinaye Williams | Social Worker | 242 W Shamrock Ave, Pineville, LA 71360-6439 | 2019-10-21 |
| 1326553850 | Teresa Marie Naber | Registered Nurse | 242 W Shamrock Ave, Pineville, LA 71360-6439 | 2017-12-06 |
| 1396263455 | Alli Records | Counselor | 242 W Shamrock Ave, Pineville, LA 71360-6439 | 2017-09-08 |
| 1831624055 | Shareka Moore | Social Worker | 242 W Shamrock Ave, Pineville, LA 71360 | 2017-04-25 |
| 1679928634 | Kristina Barcenas | Social Worker | 242 W Shamrock Ave, Pineville, LA 71360-6439 | 2016-04-27 |
| 1134511900 | Takenya Stewart | Counselor | 242 W Shamrock Ave, Unit 1, Pineville, LA 71360-6439 | 2015-03-03 |
| 1487918058 | Katherine Johnson Holloway | Social Worker | 242 W Shamrock Ave, Pineville, LA 71360-6439 | 2012-06-28 |
| 1558493718 | Maria I Kattan | Psychologist | 242 W Shamrock Ave, Pineville, LA 71360-6450 | 2007-03-12 |
| 1831220706 | Central La State Hospital | Psychologist | 242 W Shamrock Ave, Pineville, LA 71360-6450 | 2007-03-09 |
| 1255480083 | Maria Zakrzewski | Psychologist | 242 W Shamrock Ave, Pineville, LA 71360 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770700460 | Cental La State Hospital Pharmacy | Psychiatric Hospital | 244 West Shamrock St, Pineville, LA 71360 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019000 | Universal Behavioral Health Hospital Inc | Psychiatric Hospital | 800 S Oak St, Hammond, LA 70403-4938 | 2019-05-20 |
| 1356869820 | Highland Wellness Center, LLC | Psychiatric Hospital | 1513 Line Ave Ste 345, Shreveport, LA 71101-4621 | 2017-09-06 |
| 1891234597 | Janice Hollier M.d. | Psychiatric Hospital | 1002 Highland Ave Ste 201, Shreveport, LA 71101-4143 | 2017-02-15 |
| 1326593898 | Lake Pines Hospital, LLC | Psychiatric Hospital | 3639 Loyola Ave., Kenner, LA 70065 | 2016-08-24 |
| 1407207863 | Allegiance Health Center of Ruston LLC | Psychiatric Hospital | 3421 Medical Park Drive, Monroe, LA 71203 | 2016-06-28 |
| 1720437684 | Compass Rehab Dba Compass Mental Health | Psychiatric Hospital | 317 N Ave L, Crowley, LA 70526-4438 | 2016-06-10 |
| 1184044430 | Springlake Behavioral Health Bunkie LLC | Psychiatric Hospital | 323 Evergreen St Ste B, Bunkie, LA 71322-1307 | 2014-04-24 |
| 1417294497 | Tanshi, LLC | Psychiatric Hospital | 960 Highway 171, Stonewall, LA 71078-9594 | 2013-01-10 |
| 1225388507 | Compass Behavioral Center of Alexandria, LLC | Psychiatric Hospital | 6410 Masonic Drive, Alexandria, LA 71301 | 2012-09-14 |
| 1497015622 | Compass Behavioral Center of Houma, LLC | Psychiatric Hospital | 4701 W Park Ave, Houma, LA 70364 | 2012-05-22 |
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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.