BEHAVIORAL HOSPITAL OF SHREVEPORT (NPI# 1417987116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417987116 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HOSPITAL OF SHREVEPORT |
| Practice Address |
2025 Desoto St Shreveport LA 71103-4717 |
| Practice Telephone | 8666261840 |
| Mailing Telephone | 8666261840 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY CAIN (CEO) |
| Authorized Official Telephone | 2109435565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 545 | LA | Hospitals |
| Street Address |
2025 DESOTO ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356552806 | Physicians Behavioral Hospital, LLC | Psychiatric Hospital | 2025 Desoto St, Shreveport, LA 71103-4717 | 2007-05-25 |
| 1558400085 | Robert Elec Ward | Counselor | 2025 Desoto St, Shreveport, LA 71103-4717 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019000 | Universal Behavioral Health Hospital Inc | Psychiatric Hospital | 800 S Oak St, Hammond, LA 70403-4938 | 2019-05-20 |
| 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 |
| 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 | 71103 |
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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.