PINECREST DEVELOPMENTAL CENTER (NPI# 1366564163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366564163 |
| Entity Type | Organization |
| Organization Name | PINECREST DEVELOPMENTAL CENTER |
| Practice Address |
100 Pinecrest Drive Pineville LA 71360 |
| Mailing Address |
Po Box 5191 Pineville LA 71361-5191 |
| Practice Telephone | 3186412000 |
| Practice Fax Number | 3186412300 |
| Mailing Telephone | 3186412000 |
| Mailing Fax Number | 3186412300 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | MS. MONICA R BRYANT (DIRECTOR OF FISCAL SERVICES) |
| Authorized Official Telephone | 3186412216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 991000271 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1712001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215172549 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Angelina Drive, Leesville, LA 71446 | 2008-12-16 |
| 1679756324 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5602 Mar Bud Trace, Pineville, LA 71361 | 2007-12-17 |
| 1306062328 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 Kimball Ave, Alexandria, LA 71301-5005 | 2007-04-18 |
| 1457576977 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3207 Madonna Dr, Alexandria, LA 71301-4816 | 2007-04-17 |
| 1598980096 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 528 Bob White Ln, Alexandria, LA 71303-2415 | 2007-04-17 |
| 1114143674 | Pinecrest Developmental Center | Day Training, Developmentally Disabled Services | 2969 Highway 28 E, Pineville, LA 71360-5716 | 2007-04-17 |
| 1881974749 | Pinecrest Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2011-08-24 |
| 1952614190 | Pinecrest Developmental Center | Clinic/Center | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2010-07-16 |
| 1174852875 | Pinecrest Developmental Center | Clinic/Center | 100 Pinecrest Dr, Attn: Paxton Oliver, Pineville, LA 71360-4276 | 2009-12-09 |
| 1316198575 | Pinecrest Developmental Center | Early Intervention Provider Agency | 100 Pinecrest Dr, Pineville, LA 71360-4276 | 2008-10-07 |
| Street Address |
100 PINECREST DRIVE |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982754933 | Gaylon Murrell Bates | Pediatrics | 100 Pinecrest Drive, Pinecrest Develomental Center, Pineville, LA 71361-5191 | 2007-01-11 |
| 1336367085 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Pinecrest Drive, Pineville, LA 71361 | 2007-04-20 |
| 1568688513 | Pinecrest Develpmental Center | Community/Behavioral Health | 100 Pinecrest Drive, Pineville, LA 71361 | 2007-04-18 |
| 1740406339 | Pinecrest Developmental Center | Community/Behavioral Health | 100 Pinecrest Drive, Pineville, LA 71351 | 2007-04-18 |
| 1558586230 | Pinecrest Developmental Center | Long Term Care Hospital | 100 Pinecrest Drive, Pineville, LA 71361-5191 | 2007-04-16 |
| 1669522538 | Frank Nmi Pearce IIi | Family Medicine | 100 Pinecrest Drive, Pineville, LA 71361 | 2007-01-11 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134397110 | Moreau Coutee Enterprises, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1004 Flagon Road, Pineville, LA 71423 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041446 | Serene Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1567 Shirley Dr, New Orleans, LA 70114-2911 | 2020-07-23 |
| 1609495324 | 180 Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9418 Brookline Ave Ste B, Baton Rouge, LA 70809-1428 | 2020-04-13 |
| 1902442395 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Jackie Street, Rayne, LA 70578-7056 | 2019-11-21 |
| 1033766126 | Believe Therapeutic Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8566 Bayou Run Dr, New Roads, LA 70760-2454 | 2019-08-22 |
| 1063065217 | House of Nola | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10073 Pleasant Dr, Bastrop, LA 71220-6347 | 2019-07-17 |
| 1396219101 | Arc of Acadiana, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1601 East B North St, Rayne, LA 70578 | 2019-01-15 |
| 1316393531 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1538 Camellia Dr, Hammond, LA 70403-6228 | 2016-05-06 |
| 1164801726 | Grover Therapy LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 218 Brumley Ln, Duson, LA 70529-4022 | 2015-05-28 |
| 1124418348 | Evergree Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 43488 Klein Road, Hammond, LA 70403 | 2015-01-26 |
| 1962892331 | Evergreen Presbyterian Ministries,inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 955 Live Oak Ct, Ponchatoula, LA 70454-4869 | 2015-01-23 |
| Find all providers with the same taxonomy | ||||
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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.