BRENTWOOD ACQUISITION-SHREVEPORT INC. (NPI# 1417979204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417979204 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD ACQUISITION-SHREVEPORT INC. |
| Other Organization Name | BRENTWOOD HOSPITAL |
| Practice Address |
1006 Highland Ave Shreveport LA 71101 |
| Practice Telephone | 3186787500 |
| Practice Fax Number | 3182279296 |
| Mailing Telephone | 3186787500 |
| Mailing Fax Number | 3182279296 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | JAMES DUFF (CEO) |
| Authorized Official Telephone | 8776787500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 283Q00000X | Psychiatric Hospital | 529 | LA | Hospitals |
| Other Name | Type Code |
|---|---|
| Brentwood Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164725701 | Brentwood Acquisition-shreveport Inc. | Psychiatric Hospital | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2010-12-20 |
| Street Address |
1006 HIGHLAND AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981975 | Lucretia A Mcfarland | Counselor | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2020-08-01 |
| 1104471382 | Juanita Carolyn Roberts | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2019-08-05 |
| 1770138000 | Elizabeth French Bright | Psychiatry & Neurology | 1006 Highland Ave, Brentwood Hospital, Shreveport, LA 71101 | 2019-08-04 |
| 1104393644 | Nicole Lahr | Counselor | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2018-11-01 |
| 1528421302 | Veda Cawthorn | Social Worker | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2016-03-30 |
| 1124406400 | Kimberly Forcinel | Registered Nurse | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2015-05-07 |
| 1558627182 | Amit D. Desai | Psychiatry & Neurology | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2012-04-09 |
| 1700166717 | Alexandra Jones Stewart | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2011-08-22 |
| 1164725701 | Brentwood Acquisition-shreveport Inc. | Psychiatric Hospital | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2010-12-20 |
| 1528372505 | Suresh Sabbenahalli | Psychiatry & Neurology | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2010-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1417987116 | Behavioral Hospital of Shreveport | Psychiatric Hospital | 2025 Desoto St, Shreveport, LA 71103-4717 | 2006-07-05 |
| 1356950398 | Louisiana Behavioral Health LLC | Psychiatric Hospital | 9320 Linwood Ave, Shreveport, LA 71106-7003 | 2020-07-27 |
| 1164725701 | Brentwood Acquisition-shreveport Inc. | Psychiatric Hospital | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2010-12-20 |
| 1831412501 | Institutional Pharmacy Solutions | Psychiatric Hospital | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2010-03-09 |
| 1356552806 | Physicians Behavioral Hospital, LLC | Psychiatric Hospital | 2025 Desoto St, Shreveport, LA 71103-4717 | 2007-05-25 |
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| 1467019000 | Universal Behavioral Health Hospital Inc | Psychiatric Hospital | 800 S Oak St, Hammond, LA 70403-4938 | 2019-05-20 |
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| 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 |
| 1902164619 | Compass Behavioral Center LLC | Psychiatric Hospital | 312 Youngsville Hwy, Lafayette, LA 70508 | 2012-05-01 |
| 1356629166 | Shifa Behavioral Health,llc | Psychiatric Hospital | 515 Gardere Ln, Baton Rouge, LA 70820-7605 | 2011-07-27 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.