LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC (NPI# 1447376926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447376926 |
| Entity Type | Organization |
| Organization Name | LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC |
| Other Organization Name | NEWCASTLE COMMUNITY HOME |
| Practice Address |
1411 Claiborne Ave Shreveport LA 71103-4203 |
| Mailing Address |
1 Lakeshore Dr Suite 1900 Lake Charles LA 70629-0100 |
| Practice Telephone | 3374396600 |
| Practice Fax Number | 3374396647 |
| Mailing Telephone | 3374396600 |
| Mailing Fax Number | 3374396647 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENDALL A BROUSSARD (MANAGING MEMBER) |
| Authorized Official Telephone | 3374396600 |
| 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 | 973 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1711004 | 05 |
| Other Name | Type Code |
|---|---|
| NEWCASTLE COMMUNITY HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083865000 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10015 Greenwell Springs-port Hudson Rd, Zachary, LA 70791 | 2008-10-08 |
| 1386760098 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22336 Sutter Ln, Zachary, LA 70791-6003 | 2007-03-22 |
| 1730205212 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1316063035 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1932225562 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1790801264 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| 1720104466 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2007-03-22 |
| 1558487025 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2901 Douglas Dr, Bossier City, LA 71111-5807 | 2007-03-22 |
| Street Address |
1411 CLAIBORNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261411 | Magnolia Manor Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2005-11-09 |
| 1720104466 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2007-03-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1477633014 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2006-10-17 |
| 1770750747 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-09 |
| 1639345853 | Holy Angels Residential Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10450 Ellerbe Rd, Shreveport, LA 71106-7712 | 2008-05-07 |
| 1720104466 | Louise S Davis Residential Facilities, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1411 Claiborne Ave, Shreveport, LA 71103-4203 | 2007-03-22 |
| 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 | ||||
| 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.