CALVIN ROAD COMMUNITY RESIDENCE
NPI 1194851584
Intermediate Care Facility, Intellectual Disabilities in Winnfield, LA

Active since February 27, 2007CLIA 19D1096640 · Waiver
618 JOE FRAZIER RD, WINNFIELD, LA 71483(318) 255-9137(318) 255-8233 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Calvin Road Community Residence NPPES

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

CALVIN ROAD COMMUNITY RESIDENCE (NPI 1194851584) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Winnfield, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Mike L. Reynolds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194851584
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY BRIDGES SOUTH, INC.
Location Address618 JOE FRAZIER RDWinnfield, LA 71483-5029
Mailing AddressPo Box 715Ruston, LA 71273-0715 · (318) 255-9137 · Fax (318) 255-8233
Fax(318) 255-8233
Organization SubpartNo
Authorized OfficialMike L. ReynoldsCeo · (318) 255-9137
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1194851584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in LA · 587
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

618 JOE FRAZIER RD, Winnfield, LA 71483

Other Names 1

Doing Business AsCalvin Road Community Residence

Other Identifiers 1

Medicaid1718475LA

CLIA Laboratory Certificates CMS CLIA

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 19D1096640

Calvin Community Residence · Winnfield, LA
Active · expires Mar 9, 2027
CLIA Number19D1096640
Laboratory TypeIndependent
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorMichael Reynolds
Laboratory Phone(318) 255-9137
Laboratory LocationCalvin Community Residence618 Joe Frazier Road, Winnfield, LA 71483
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Community Bridges South, Inc.'s NPI number?

The NPI number for Community Bridges South, Inc. is 1194851584. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Calvin Road Community Residence.

Where is Community Bridges South, Inc. located?

Community Bridges South, Inc. is located at 618 Joe Frazier Rd, Winnfield, LA 71483. The listed phone number is (318) 255-9137.

What is Community Bridges South, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Community Bridges South, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1096640) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Bridges South, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.