PINECREST SUPPORTS AND SERVICES CENTER (NPI# 1609053727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609053727 |
| Entity Type | Organization |
| Organization Name | PINECREST SUPPORTS AND SERVICES CENTER |
| Other Organization Name | OAK RUN COMMUNITY HOME |
| Practice Address |
224 Robertson Rd Ball LA 71405-3863 |
| Mailing Address |
P. O. Box 5191 Attention: Qmi Pineville LA 71361-5191 |
| Practice Telephone | 3186403955 |
| Practice Fax Number | 3186403955 |
| Mailing Telephone | 3186412000 |
| Mailing Fax Number | 3186412309 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | SHERRI A EVANS (MR DD REGIONAL ADMINISTRATOR) |
| Authorized Official Telephone | 3186412003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1023 | LA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Oak Run Community Home | Doing Business As Name - Organization |
| Street Address |
224 ROBERTSON RD |
| City | BALL |
| State | LA |
| Zip Code | 71405-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013233246 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 Robertson Rd, Ball, LA 71405-3863 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497785299 | Louisiana Mobility of Central La, Inc | Durable Medical Equipment & Medical Supplies | 5508 Monroe Hwy, Ball, LA 71405 | 2006-07-04 |
| 1154592996 | Louisiana Community Care, Inc. | Day Training, Developmentally Disabled Services | 5803 Monroe Hwy, Ball, LA 71405 | 2008-03-20 |
| 1306967435 | Thompson Bros Investments LLC | Technician | 4811 Monroe Hwy, Ball, LA 71405 | 2007-04-03 |
| 1841663895 | Angela Nickole Solomito Pugh | Midwife | 6709 Monroe Hwy, Ball, LA 71405-3227 | 2015-11-12 |
| 1477004836 | Edge Medical Services | Clinic/Center | 6709 Monroe Hwy, Ball, LA 71405-3227 | 2016-10-20 |
| 1740641331 | National Birth Centers Inc | Clinic/Center | 6709 Monroe Hwy, Ball, LA 71405-3227 | 2016-03-10 |
| 1740479310 | Devinder K. Verma M.d. | Internal Medicine | 6118 Monroe Hwy Ste B, Ball, LA 71405-3251 | 2007-10-19 |
| 1720086812 | Rajinder Verma | Family Medicine | 6118 Monroe Hwy, Ball, LA 71405-3251 | 2005-07-12 |
| 1013301100 | Verna Family Medicine | Family Medicine | 6118 Monroe Hwy, Ball, LA 71405-3251 | 2015-03-26 |
| 1780723841 | Guardian Angels Care Services, Inc. | Day Training, Developmentally Disabled Services | 104 Morgan St, Ball, LA 71405-3306 | 2007-02-05 |
| Find all providers in zip 71405 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013233246 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 Robertson Rd, Ball, LA 71405-3863 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570847 | Foundation for You Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Sibley St, Natchitoches, LA 71457-4420 | 2020-05-20 |
| 1114556412 | Grelan Muse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3347 N Foster Dr, Baton Rouge, LA 70805-6825 | 2020-04-07 |
| 1619506912 | Lejune's Enterprises LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5720 Saint Gerard Ave, Baton Rouge, LA 70805-3753 | 2020-04-07 |
| 1912545567 | Safecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 403 Willow St, Franklin, LA 70538-6022 | 2019-12-13 |
| 1528613049 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 608 Lisa St, Rayne, LA 70578-7056 | 2019-08-02 |
| 1578118097 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Electa St, Rayne, LA 70578-7056 | 2019-08-02 |
| 1831686435 | Abiding In The Vine Care Provider | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1141 Whitney Ave Bldg 2, Gretna, LA 70056-5011 | 2018-04-18 |
| 1720539299 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15212 Wadesboro Dr., Ponchatoula, LA 70454 | 2016-10-20 |
| 1770931503 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24345 Harvey Lavigne Road, Ponchatoula, LA 70454 | 2016-06-02 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 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.