PMG OPCO-SPRINGLAKE LLC
NPI 1063974335
Assisted Living Facility in Shreveport, LA

Active since April 04, 2019
8622 LINE AVE, SHREVEPORT, LA 71106(318) 861-2366 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pmg Opco-springlake Llc NPPES

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

PMG OPCO-SPRINGLAKE LLC (NPI 1063974335), doing business as The Gables At Springlake, is a healthcare organization registered as an assisted living facility in Shreveport, Louisiana and active in the NPI registry since April 2019. The organization lists Steven Boulware, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063974335
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePMG OPCO-SPRINGLAKE LLC
Location Address8622 LINE AVEShreveport, LA 71106-6108
Mailing Address8622 Line AveShreveport, LA 71106-6108
Organization SubpartNo
Authorized OfficialSteven BoulwareManaging Member · (972) 428-0900
Enumeration DateApril 4, 2019
NPI 1063974335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

8622 LINE AVE, Shreveport, LA 71106

Other Names 1

Doing Business AsThe Gables At Springlake

Other Providers at the Same Location NPPES 5

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

Physical Therapy Assistant
8622 LINE AVE
SHREVEPORT, LA 71106
Assisted Living Facility
8622 LINE AVE
SHREVEPORT, LA 71106
Skilled Nursing Facility
8622 LINE AVE
SHREVEPORT, LA 71106
Skilled Nursing Facility
8622 LINE AVE
SHREVEPORT, LA 71106
Skilled Nursing Facility
8622 LINE AVE
SHREVEPORT, LA 71106

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 Pmg Opco-Springlake LLC's NPI number?

The NPI number for Pmg Opco-Springlake LLC is 1063974335. It was assigned to this organization in the NPPES registry on April 4, 2019. The provider is doing business as The Gables At Springlake.

Where is Pmg Opco-Springlake LLC located?

Pmg Opco-Springlake LLC is located at 8622 Line Ave, Shreveport, LA 71106. The listed phone number is (318) 861-2366.

What is Pmg Opco-Springlake LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pmg Opco-Springlake LLC was last updated on April 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.