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EDGEWOOD COMMUNITY HOME
NPI 1336367085
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pineville, LA

Active since April 20, 2007
100 PINECREST DRIVE, PINEVILLE, LA 71361(318) 641-2000(318) 641-2309 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewood Community Home NPPES

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

EDGEWOOD COMMUNITY HOME (NPI 1336367085) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pineville, Louisiana and active in the NPI registry since April 2007. The organization lists Sherri A Evans, Mr Dd Regional Administrator, as its authorized official.

NPPES Registry Identity

NPI1336367085
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePINECREST DEVELOPMENTAL CENTER
Location Address100 PINECREST DRIVEPineville, LA 71361
Mailing AddressPo Box 5191Pineville, LA 71361-5191 · (318) 641-2000 · Fax (318) 641-2309
Phone(318) 641-2000
Fax(318) 641-2309
Organization SubpartNo
Authorized OfficialSherri A EvansMr Dd Regional Administrator · (318) 641-2003
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336367085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in LA · 955
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
100 PINECREST DRIVE, Pineville, LA 71361
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Other Names 1

Doing Business AsEdgewood Community Home

Other Identifiers 1

Medicaid1712388LA

Other Providers at the Same Location NPPES 3

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

PINECREST DEVELOPMENTAL CENTER
Long Term Care Hospital
100 PINECREST DRIVE
PINEVILLE, LA 71361
Rapides Parish (318) 641-2000
PINECREST DEVELPMENTAL CENTER
Community/Behavioral Health
100 PINECREST DRIVE
PINEVILLE, LA 71361
Rapides Parish (318) 641-2000
DR. GAYLON MURRELL BATES MD
Pediatrics
100 PINECREST DRIVE, PINECREST DEVELOMENTAL CENTER
PINEVILLE, LA 71361
Rapides Parish (318) 641-2000

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 Pinecrest Developmental Center's NPI number?

The NPI number for Pinecrest Developmental Center is 1336367085. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Edgewood Community Home.

Where is Pinecrest Developmental Center located?

Pinecrest Developmental Center is located at 100 Pinecrest Drive, Pineville, LA 71361. The listed phone number is (318) 641-2000.

What is Pinecrest Developmental Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Pinecrest Developmental Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.