SIMBA VENTURES HOSPITAL LA, LLC


Address: 1130 Louisiana Ave, Shreveport, LA 71101-3908
Phone: 3182271211

SIMBA VENTURES HOSPITAL LA, LLC (NPI# 1699966432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699966432
Entity Type Organization
Organization Name SIMBA VENTURES HOSPITAL LA, LLC
Other Organization Name DOCTORS' HOSPITAL SHREVEPORT
Practice Address 1130 Louisiana Ave
Shreveport
LA 71101-3908
Practice Telephone 3182271211
Practice Fax Number 3186784112
Mailing Telephone 3182271211
Mailing Fax Number 3186784112
Enumeration Date 2007-08-07
Last Update Date 2007-08-07
Authorized Official Name MR. MARK R. PFEIL (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 9722653115
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
TX 1749150 05

Other Provider/Organization Names

Other Name Type Code
Doctors' Hospital Shreveport Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053502294 Simba Ventures Hospital La, LLC General Acute Care Hospital 1130 Louisiana Ave, Shreveport, LA 71101-3908 2007-08-05

Office Location

Street Address 1130 LOUISIANA AVE
City SHREVEPORT
State LA
Zip Code 71101-3908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457320616 Mrunalini B Shah Physical Medicine & Rehabilitation 1130 Louisiana Ave, Shreveport, LA 71101-3908 2006-03-17
1053502294 Simba Ventures Hospital La, LLC General Acute Care Hospital 1130 Louisiana Ave, Shreveport, LA 71101-3908 2007-08-05
1629279468 Shreveport Doctors' Hospital Psychiatric Unit 1130 Louisiana Ave, Shreveport, LA 71101-3908 2007-05-30
1124229398 Shreveport Doctors' Hospital Rehabilitation Unit 1130 Louisiana Ave, Shreveport, LA 71101-3908 2007-05-29
1437210630 Stephen W. Clark Nurse Anesthetist, Certified Registered 1130 Louisiana Ave, Shreveport, LA 71101-3908 2006-12-12
1255492450 Stephen C Smith Nurse Anesthetist, Certified Registered 1130 Louisiana Ave, Shreveport, LA 71101-3908 2006-12-12
1912066556 Thomas L. Smith Nurse Anesthetist, Certified Registered 1130 Louisiana Ave, Shreveport, LA 71101-3908 2006-12-08
1861407298 Doctors Hospital Er Group Emergency Medicine 1130 Louisiana Ave, Shreveport, LA 71101-3908 2006-07-31
1528011673 Shreveport Doctors Hospital 2003, Ltd. General Acute Care Hospital 1130 Louisiana Ave, Shreveport, LA 71101-3908 2006-05-18

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235618109 University Health Shreveport LLC Psychiatric Unit 1541 Kings Hwy, Shreveport, LA 71103-4228 2018-08-10
1780018838 Brfhh Shreveport LLC Psychiatric Unit 1541 Kings Hwy, Shreveport, LA 71103-4228 2013-08-26
1629279468 Shreveport Doctors' Hospital Psychiatric Unit 1130 Louisiana Ave, Shreveport, LA 71101-3908 2007-05-30
1912059932 Willis Knighton Medical Center, Inc. Psychiatric Unit 1111 Line Avenue, Shreveport, LA 71101 2007-01-18
1821192162 Brfhh Shreveport LLC Psychiatric Unit 1541 Kings Hwy, Shreveport, LA 71103-4228 2006-09-08
1285660134 Christus Health Northern Louisiana Psychiatric Unit 1 Saint Mary Pl, Shreveport, LA 71101-4343 2006-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659971133 Start Corporation Psychiatric Unit 23251 S Robin Road, Suite 102, Mandeville, LA 70448-7044 2020-10-26
1134365216 Rural Healthcare Developers of Louisiana LLC Psychiatric Unit 2837 Ernest St, Lake Charles, LA 70601-8408 2008-12-19
1831342336 Sterlington Critical Access Hospital, LLC Psychiatric Unit 111 La Hwy 2, Sterlington, LA 71280-3009 2008-10-28
1548452535 Children's Hospital Psychiatric Unit 210 State St Bldg 10, New Orleans, LA 70118-5735 2007-08-14
1649460122 Hood Memorial Hospital Psychiatric Unit 301 West Walnut Street, Amite, LA 70422 2007-07-31
1104980473 American Legion Hospital Psychiatric Unit 300 S Bradford St, Rayne, LA 70578-6961 2006-12-21
1427122969 Phc-opelousas Lp Psychiatric Unit 225 Guidroz, Arnaudville, LA 70512 2006-11-17
1538174347 East Jefferson General Hospital Psychiatric Unit 4200 Houma Boulevard, Metairie, LA 70006-0000 2006-07-30
1801825005 Hospital Service District # 2 of Lasalle Parish Psychiatric Unit 187 Ninth Street, Jena, LA 71342-2780 2006-07-01
1306883384 Rapides Healthcare System, L.L.C. Psychiatric Unit 1610 7th St, Mamou, LA 70554-2299 2006-05-31
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Competitor

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City SHREVEPORT
Zip Code 71101

Improve Information

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Dataset Information

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.

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