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GRACE HOME
NPI 1386770162
Intermediate Care Facility, Intellectual Disabilities in Benton, LA

Active since February 26, 2007
115 SHERWOOD DR, BENTON, LA 71006(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 19, 2026.

About Grace Home NPPES

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

GRACE HOME (NPI 1386770162) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Benton, Louisiana and active in the NPI registry since February 2007. The organization lists Mike L. Reynolds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386770162
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY BRIDGES WEST, INC.
Location Address115 SHERWOOD DRBenton, LA 71006-9701
Mailing AddressPo Box 715Ruston, LA 71273-0715 · (318) 255-9137 · Fax (318) 255-8233
Phone(318) 255-9137
Fax(318) 255-8233
Organization SubpartNo
Authorized OfficialMike L. ReynoldsCeo · (318) 255-9137
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386770162 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 · 897
Definition

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

115 SHERWOOD DR, Benton, LA 71006
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Other Names 1

Doing Business AsGrace Home

Other Identifiers 1

Medicaid1718424LA

Other Providers at the Same Location NPPES

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

COMMUNITY BRIDGES SOUTH, INC.
Intermediate Care Facility, Intellectual Disabilities
115 SHERWOOD DR
BENTON, LA 71006
Bossier Parish (318) 255-9137

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 West, Inc.'s NPI number?

The NPI number for Community Bridges West, Inc. is 1386770162. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Community Bridges West, Inc. located?

Community Bridges West, Inc. is located at 115 Sherwood Dr, Benton, LA 71006. The listed phone number is (318) 255-9137.

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

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

When was this NPI record last updated?

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