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WOODSHIRE LANE RESIDENCE
NPI 1386770774
Intermediate Care Facility, Intellectual Disabilities in Ruston, LA

Active since February 27, 2007
155 WOODSHIRE LN, RUSTON, LA 71270(318) 255-1937(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 Woodshire Lane Residence NPPES

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

WOODSHIRE LANE RESIDENCE (NPI 1386770774) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ruston, Louisiana and active in the NPI registry since February 2007. The organization lists Mike L. Reynolds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386770774
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY BRIDGES SOUTH, INC.
Location Address155 WOODSHIRE LNRuston, LA 71270-3292
Mailing AddressPo Box 715Ruston, LA 71273-0715 · (318) 255-1937 · Fax (318) 255-8233
Phone(318) 255-1937
Fax(318) 255-8233
Organization SubpartNo
Authorized OfficialMike L. ReynoldsCeo · (318) 255-1937
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386770774 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 · 1039
Definition

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

155 WOODSHIRE LN, Ruston, LA 71270
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Other Names 1

Doing Business AsWoodshire Lane Residence

Other Identifiers 1

Medicaid1710377LA

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 1386770774. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Community Bridges South, Inc. located?

Community Bridges South, Inc. is located at 155 Woodshire Ln, Ruston, LA 71270. The listed phone number is (318) 255-1937.

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.

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.