EDGEWOOD COMMUNITY HOME
NPI 1336367085
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pineville, LA
NPI Status: Active since April 20, 2007
Contact Information
100 PINECREST DRIVE
PINEVILLE, LA
ZIP 71361
Phone: (318) 641-2000
Fax: (318) 641-2309
- Organization
- Community Based Residential Treatment Fa...
About EDGEWOOD COMMUNITY HOME
This page provides the complete NPI Profile along with additional information for Edgewood Community Home, a provider established in Pineville, Louisiana operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1336367085 assigned on April 2007. The practitioner's primary taxonomy code is 320900000X with license number 955 (LA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Edgewood Community Home. The authorized official of this NPI record is Sherri A Evans (Mr Dd Regional Administrator)
- NPI
- 1336367085
- Provider Legal Name
- PINECREST DEVELOPMENTAL CENTER
- Other Organization Name
- EDGEWOOD COMMUNITY HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 PINECREST DRIVE PINEVILLE, LA 71361
- Location Phone
- (318) 641-2000
- Location Fax
- (318) 641-2309
- Mailing Address
- PO BOX 5191 PINEVILLE, LA 71361
- Mailing Phone
- (318) 641-2000
- Mailing Fax
- (318) 641-2309
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 955
- License State
- LA
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1712388 | MEDICAID (05) | LA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 3 | 6 | 7 | 0 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 6 | 6 | 14 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 6 + 6 + 1 + 4 + 0 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1336367085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DR. GAYLON MURRELL BATES MD
Pediatrics
100 PINECREST DRIVE
PINECREST DEVELOMENTAL CENTER
PINEVILLE, LA
ZIP 71361
PINECREST DEVELOPMENTAL CENTER
Long Term Care Hospital
100 PINECREST DRIVE
PINEVILLE, LA
ZIP 71361
PINECREST DEVELPMENTAL CENTER
Community/Behavioral Health
100 PINECREST DRIVE
PINEVILLE, LA
ZIP 71361
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336367085, enumerated as an "organization" on April 20, 2007.
The provider is located at 100 PINECREST DRIVE PINEVILLE, LA 71361 and the phone number is (318) 641-2000.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
