NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC
NPI 1558203190
Substance Abuse Rehabilitation Facility in Natchitoches, LA

Q: What is Nova Vital Natchitoches Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since April 06, 2026CLIA 19D2344830 · Waiver

720 KEYSER AVE, NATCHITOCHES, LA 71457(318) 228-1959 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Nova Vital Natchitoches Recovery Center, Llc NPPES

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

NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC (NPI 1558203190) is a healthcare organization registered as a substance abuse rehabilitation facility in Natchitoches, Louisiana and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Denny Gamble, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1558203190

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameNOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC

Location Address720 KEYSER AVENatchitoches, LA 71457-6043

Mailing Address8520 Business Park DrShreveport, LA 71105-5654 · (318) 228-1959

Phone(318) 228-1959

Organization SubpartNo

Authorized OfficialDenny GambleOwner/managing Member · (318) 458-6254

Enumeration DateApril 6, 2026

NPPES CertifiedApril 6, 2026

✔ NPI 1558203190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X

720 KEYSER AVE, Natchitoches, LA 71457

Open in Google Maps ↗

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 19D2344830

Nova Vital Natchitoches Recovery Center LLC · Natchitoches, LA

Active · expires May 31, 2028

CLIA Number19D2344830

Laboratory TypeSubstance Abuse Rehab

Certificate Effective DateJune 1, 2026

Certificate Expiration DateMay 31, 2028

Laboratory DirectorRandy Davis

Laboratory Phone(318) 228-1959

Laboratory LocationNova Vital Natchitoches Recovery Center LLC720 Keyser Avenue, Natchitoches, LA 71457

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

HOLLY CAMERON

Occupational Therapist

720 KEYSER AVE
NATCHITOCHES, LA 71457

Natchitoches Parish (318) 352-8296

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 Nova Vital Natchitoches Recovery Center, LLC's NPI number?

The NPI number for Nova Vital Natchitoches Recovery Center, LLC is 1558203190. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Nova Vital Natchitoches Recovery Center, LLC located?

Nova Vital Natchitoches Recovery Center, LLC is located at 720 Keyser Ave, Natchitoches, LA 71457. The listed phone number is (318) 228-1959.

What is Nova Vital Natchitoches Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Nova Vital Natchitoches Recovery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2344830) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nova Vital Natchitoches Recovery Center, LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.