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LINCOLN NOVA VITAL RECOVERY CENTER,LLC
NPI 1043780851
Substance Abuse Rehabilitation Facility in Ruston, LA

Active since December 05, 2018CLIA Certified · 2 labs
4396 HIGHWAY 80, RUSTON, LA 71270(318) 251-4659(318) 251-4659 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, May 21, 2019, May 8, 2019 and 2 more (5 updates tracked since 2018).

About Lincoln Nova Vital Recovery Center,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINCOLN NOVA VITAL RECOVERY CENTER,LLC (NPI 1043780851) is a healthcare organization registered as a substance abuse rehabilitation facility in Ruston, Louisiana and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates and lists Denny E. Gamble, Owner, as its authorized official.

NPPES Registry Identity

NPI1043780851
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLINCOLN NOVA VITAL RECOVERY CENTER,LLC
Location Address4396 HIGHWAY 80Ruston, LA 71270-8948
Mailing Address8520 Business Park DrShreveport, LA 71105-5654 · (318) 251-4659 · Fax (318) 251-4659
Phone(318) 251-4659
Fax(318) 251-4659
Organization SubpartNo
Authorized OfficialDenny E. GambleOwner · (318) 251-4659
Enumeration DateDecember 5, 2018
Last NPPES UpdateMarch 19, 20255 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1043780851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
4396 HIGHWAY 80, Ruston, LA 71270
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Other Identifiers 1

Other1336348317251s00000x

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2167394

Lincoln Nova Vital Recovery · Ruston, LA
Active · expires Jun 5, 2027
CLIA Number19D2167394
Laboratory TypeDrug Rehab
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorRandy Davis
Laboratory Phone(318) 251-4659
Laboratory LocationLincoln Nova Vital Recovery4396 Highway 80, Ruston, LA 71270
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2292056

Lincoln Nova Vital Recovery Center, LLC · Monroe, LA
Active · expires Oct 18, 2027
CLIA Number19D2292056
Laboratory TypeOutpatient Counseling Cnt
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorRandy Davis
Laboratory Phone(318) 251-4659
Laboratory LocationLincoln Nova Vital Recovery Center, LLC701 Bres Ave, Monroe, LA 71201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUE WONA SKAINS
Social Worker
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (318) 251-4659
MR. TERRY LEE JORDAN LMSW
Case Manager/Care Coordinator
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (318) 251-4659
BARBARA JEAN CLARK LPC
Counselor (Professional)
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (318) 251-4659
MRS. ANNA AMELIA MCMAHON LPC
Counselor (Professional)
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (972) 358-9101
ALPINE GUEST CARE, LLC
Skilled Nursing Facility
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (318) 255-6492
BARRETT LINAM LCSW, PHD
Social Worker (Clinical)
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (318) 251-4659
LACY CULVER VINCENT PA
Physician Assistant
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (318) 550-8928
MRS. PAULA JUNE TUCKER
Counselor (Addiction (Substance Use Disorder))
4396 HIGHWAY 80
RUSTON, LA 71270
Lincoln Parish (318) 251-4659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lincoln Nova Vital Recovery Center,llc's NPI number?

The NPI number for Lincoln Nova Vital Recovery Center,llc is 1043780851. It was assigned to this organization in the NPPES registry on December 5, 2018.

Where is Lincoln Nova Vital Recovery Center,llc located?

Lincoln Nova Vital Recovery Center,llc is located at 4396 Highway 80, Ruston, LA 71270. The listed phone number is (318) 251-4659.

What is Lincoln Nova Vital Recovery Center,llc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Lincoln Nova Vital Recovery Center,llc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lincoln Nova Vital Recovery Center,llc accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Lincoln Nova Vital Recovery Center,llc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lincoln Nova Vital Recovery Center,llc was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.