COLWELL INTEREST, INC. (NPI# 1710215264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710215264 |
| Entity Type | Organization |
| Organization Name | COLWELL INTEREST, INC. |
| Other Organization Name | GIBBS STREET COMMUNITY HOME |
| Practice Address |
416 Gibbs St Mansfield LA 71052-2618 |
| Mailing Address |
1111 Main St Pineville LA 71360-6423 |
| Practice Telephone | 3184422284 |
| Practice Fax Number | 3184481427 |
| Mailing Telephone | 3184422284 |
| Mailing Fax Number | 3184481427 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | MR. JAMES B. COLWELL (PROGRAM MANAGER) |
| Authorized Official Telephone | 3184422284 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLWELL INTEREST, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1061 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1719323 | 05 |
| Other Name | Type Code |
|---|---|
| Gibbs Street Community Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801124284 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 167 Poole Rd, Mansfield, LA 71052-5007 | 2009-11-24 |
| 1417120536 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1621 Susek Dr, Pineville, LA 71360-5483 | 2008-04-09 |
| 1790958965 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7992 Highway 8, Colfax, LA 71417-6026 | 2008-04-09 |
| 1952574063 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4813 Highway 4 E, Columbia, LA 71418-3512 | 2008-04-09 |
| 1407042567 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3004 Highway 457, Alexandria, LA 71302-9255 | 2007-09-21 |
| 1013233246 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 Robertson Rd, Ball, LA 71405-3863 | 2010-04-13 |
| Street Address |
416 GIBBS ST |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| 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 |
|---|---|---|---|---|
| 1083074199 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2954 Route 660, Mansfield, PA 16933-9024 | 2016-03-02 |
| 1518326198 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 7th St, Mansfield, PA 16933-1209 | 2016-02-11 |
| 1598169369 | A Nola Residential Service, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1851 Newt Patterson, Mansfield, TX 76063 | 2014-10-22 |
| 1801124284 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 167 Poole Rd, Mansfield, LA 71052-5007 | 2009-11-24 |
| 1891932398 | Richland County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 592 Evelyn Ave, Mansfield, OH 44907 | 2009-01-21 |
| 1861656340 | Martha Lloyd Crf 3rd Street | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 3rd St, Mansfield, PA 16933-1221 | 2008-07-15 |
| 1326202771 | Martha Lloyd Crf Fla Mansfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Pickle Hill Rd, Mansfield, PA 16933-9654 | 2008-07-15 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1881855427 | Martha Lloyd Crf 1st Street | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 41 1st St, Mansfield, PA 16933-1211 | 2008-06-17 |
| 1477740520 | County of Richland | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 786 Ferndale Rd, Mansfield, OH 44907-1757 | 2007-10-02 |
| Find all providers in MANSFIELD | ||||
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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.