APACHE COMMUNITY RESIDENCE
NPI 1588790448
Intermediate Care Facility, Intellectual Disabilities in Winnfield, LA

Q: What is Community Bridges South, Inc.'s NPI number?

The NPI number for Community Bridges South, Inc. is 1588790448. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Apache Community Residence.

Q: 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.

Active since February 26, 2007CLIA 19D0979585 · Waiver

2000 APACHE DR, WINNFIELD, LA 71483(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: September 20, 2026.

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About Apache Community Residence NPPES

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

APACHE COMMUNITY RESIDENCE (NPI 1588790448) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Winnfield, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Mike L. Reynolds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588790448

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameCOMMUNITY BRIDGES SOUTH, INC.

Location Address2000 APACHE DRWinnfield, LA 71483-3102

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) 255-1937

Enumeration DateFebruary 26, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1588790448 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 · 612

Definition

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

2000 APACHE DR, Winnfield, LA 71483

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Other Names 1

Doing Business AsApache Community Residence

Other Identifiers 1

Medicaid1718653LA

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 19D0979585

Community Bridges South Apache Home · Winnfield, LA

Active · expires Oct 25, 2026

CLIA Number19D0979585

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorMichael L. Reynolds,

Laboratory Phone(318) 255-9137

Laboratory LocationCommunity Bridges South Apache Home2000 Apache Drive, Winnfield, LA 71483

CLIA data matches this NPI record on: Address Name Phone

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

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 1588790448. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Apache Community Residence.

Where is Community Bridges South, Inc. located?

Community Bridges South, Inc. is located at 2000 Apache Dr, Winnfield, LA 71483. The listed phone number is (318) 255-9137.

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.

Does Community Bridges South, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0979585) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.