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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Other Name | Type Code |
|---|---|
| Northwest Louisiana Developmental Center | Former Legal Business Name - Organization |
| 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 |
| Street Address |
5401 SHED RD |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-5420 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710305974 | Simply Slp | Early Intervention Provider Agency | 442 Long Acre Dr, Bossier City, LA 71111-8229 | 2014-04-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.