NORTHWEST SUPPORTS AND SERVICES CENTER


Address: 5401 Shed Rd, Bossier City, LA 71111-5420
Phone: 3187415230

NORTHWEST SUPPORTS AND SERVICES CENTER (NPI# 1871732628) 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) 1871732628
Entity Type Organization
Organization Name NORTHWEST SUPPORTS AND SERVICES CENTER
Other Organization Name NORTHWEST LOUISIANA DEVELOPMENTAL CENTER
Practice Address 5401 Shed Rd
Bossier City
LA 71111-5420
Practice Telephone 3187415230
Practice Fax Number 3187415303
Mailing Telephone 3187415230
Mailing Fax Number 3187415303
Enumeration Date 2009-02-18
Last Update Date 2009-02-18
Authorized Official Name MR. DAVID COLVIN (ADMINISTRATOR)
Authorized Official Telephone 3187415200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 252Y00000X Early Intervention Provider Agency Agencies

Other Provider/Organization Names

Other Name Type Code
Northwest Louisiana Developmental Center Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689715179 Northwest Supports and Services Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-02-09
1730307133 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
1558589952 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
1467670869 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
1912125311 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23

Office Location

Street Address 5401 SHED RD
City BOSSIER CITY
State LA
Zip Code 71111-5420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689715179 Northwest Supports and Services Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-02-09
1902275043 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2015-09-18
1811366958 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2015-09-18
1134479066 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2012-09-18
1154687978 Tommy Ray Robinson Physician Assistant 5401 Shed Rd, Bossier City, LA 71111-5420 2012-04-05
1235370685 Michael Mcdougald Social Worker 5401 Shed Rd, Bossier City, LA 71111-5420 2009-03-16
1205076098 Tiney Latson Registered Nurse 5401 Shed Rd, Bossier City, LA 71111-5420 2009-03-06
1578702643 Arien Mckenzie Ward Psychologist 5401 Shed Rd, Bossier City, LA 71111-5420 2009-02-13
1841439197 Michelle Jarrell Rock Physical Therapist 5401 Shed Rd, Bossier City, LA 71111-5420 2009-02-10
1730307133 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669007951 Tamara 'tammy' Larck Counselor 1525 Fullilove Drive, Shreveport, LA 71111 2020-03-06
1912538315 Lagniappe Chiropractic Chiropractor 2400 Airline Drive, Bossier City, LA 71111 2020-02-04
1649817420 Lifecare Medical Transportation, LLC. Non-emergency Medical Transport (VAN) 25 Duck Haven Pointe, Bossier City, LA 71111 2019-11-29
1770126344 Bertresea White Evans Nurse Practitioner Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 2019-10-25
1861964058 Erika Davis Reed Counselor 1515 Doctors Dr # 16, Bossier City, LA 71111 2018-12-28
1518436898 Charlotte Mckay Case Manager/Care Coordinator 31330 Hwy 22, Ste 101, Bossier City, LA 71111 2018-11-16
1992271464 Np2u, LLC Nurse Practitioner 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 2018-10-22
1114416542 Lashaunda Autrey Counselor 410 Half Moon Lane, Bossier, LA 71111 2018-05-01
1750887196 Shenya Williams-pennywell Counselor 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 2018-04-04
1336647304 Patrick Vance Physical Therapist 5000 Benton Rd Ste 1, Bossier City, LA 71111 2018-01-24
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Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710305974 Simply Slp Early Intervention Provider Agency 442 Long Acre Dr, Bossier City, LA 71111-8229 2014-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831717016 Mary Walters Early Intervention Provider Agency 5876 Mark Lebleu Rd, Lake Charles, LA 70615-4501 2020-07-14
1013419308 A Little Miracle Coordination, LLC Early Intervention Provider Agency 294 Champagne Ln, Raceland, LA 70394-3503 2018-03-02
1043719768 C & J Therapy, LLC Early Intervention Provider Agency 96 Wagner Rd, Ball, LA 71405-9800 2018-02-08
1598284333 Felicia Downs Lcsw LLC Early Intervention Provider Agency 1821 Royal Ave Ste 5, Monroe, LA 71201-5721 2017-09-13
1164957460 Comprehensive Rehabilitation Early Intervention Provider Agency 306 Charlotte Dr, Patterson, LA 70392-4148 2017-04-24
1447782594 I Know I Can Speech-language Therapy Services Early Intervention Provider Agency 7206 Juno Drive, Baker, LA 70714 2017-03-29
1427418243 A Peace of Mind II, LLC Early Intervention Provider Agency 13755 River Rd, Ste. B, Luling, LA 70070-4376 2016-03-07
1154796316 Blind Ambitions Mentoring and Outreach Program Inc. Early Intervention Provider Agency 544 N Donmoor Ave, Baton Rouge, LA 70806-2813 2015-12-14
1932574852 Noble Promise Christian Counseling Center Early Intervention Provider Agency 910 Highway 3061, Ruston, LA 71270-9100 2015-12-03
1477931376 Capitol Education Group Early Intervention Provider Agency 140 Crimson St, Opelousas, LA 70570-1220 2015-05-12
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Competitor

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City BOSSIER CITY
Zip Code 71111

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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