COLWELL INTEREST, INC. (NPI# 1790958965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790958965 |
Entity Type | Organization |
Organization Name | COLWELL INTEREST, INC. |
Other Organization Name | CENTRAL GRANT COMMUNITY HOME |
Practice Address |
7992 Highway 8 Colfax LA 71417-6026 |
Mailing Address |
1111 Main St Pineville LA 71360-6423 |
Practice Telephone | 3188995772 |
Mailing Telephone | 3184422284 |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-04-09 |
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 | 533 | LA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1717771 | 05 |
Other Name | Type Code |
---|---|
Central Grant 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 |
1710215264 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Gibbs St, Mansfield, LA 71052-2618 | 2009-11-20 |
1417120536 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1621 Susek Dr, Pineville, LA 71360-5483 | 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 |
7992 HIGHWAY 8 |
City | COLFAX |
State | LA |
Zip Code | 71417-6026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144742529 | Tammy Michelle White | Counselor | 179 Bagdad Loop, Colfax, LA 71417 | 2017-07-07 |
1811354723 | Charise Clark | Counselor | 904 Mill St, Colfax, LA 71417 | 2016-01-22 |
1164624037 | William M. Bell, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9668 Hwy 8 E, Colfax, LA 71417 | 2007-06-04 |
1972634947 | Grant Parish School Board | Local Education Agency (LEA) | 512 Main Street, Colfax, LA 71417 | 2007-03-08 |
1013912047 | Dixie Pharmacy, Inc. | Pharmacy | 615 8th St, Colfax, LA 71417-1414 | 2005-06-16 |
1487640298 | Sammy H Reitzell Jr. | Pharmacist | 615 8th St, Colfax, LA 71417-1414 | 2005-09-27 |
1184624215 | Daniel B Reitzell | Pharmacist | 615 8th St, Colfax, LA 71417-1414 | 2005-07-29 |
1306964473 | Grant Parish School Board | Local Education Agency (LEA) | 511 Main St, Colfax, LA 71417-1522 | 2007-03-27 |
1447637228 | The Vets Group, LLC | Community/Behavioral Health | 116 2nd St, Colfax, LA 71417-1800 | 2015-04-30 |
1699153825 | Tony Lee Vets II | Behavioral Analyst | 116 2nd St, Colfax, LA 71417-1800 | 2015-05-07 |
Find all providers in zip 71417 |
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] |
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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 |
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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.