SCC OF SHREVEPORT MANOR REHABILITATION CENTER
NPI 1609257450
Skilled Nursing Facility in Shreveport, LA

Active since June 17, 2015
3302 MANSFIELD RD, SHREVEPORT, LA 71103(318) 222-9482(318) 424-9985 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2020, Dec 10, 2018, Aug 12, 2016 (3 updates tracked since 2016).

About Scc Of Shreveport Manor Rehabilitation Center NPPES

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

SCC OF SHREVEPORT MANOR REHABILITATION CENTER (NPI 1609257450) is a healthcare organization registered as a skilled nursing facility in Shreveport, Louisiana and active in the NPI registry since June 2015. The organization lists Michael Beal, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1609257450
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHREVEPORT SCC LLC
Location Address3302 MANSFIELD RDShreveport, LA 71103-4106
Mailing Address600 N Pearl St Ste 1050Dallas, TX 75201-7495 · (214) 252-7600 · Fax (214) 252-7704
Fax(318) 424-9985
Organization SubpartNo
Authorized OfficialMichael BealChief Executive Officer · (214) 252-7600
Enumeration DateJune 17, 2015
Last NPPES UpdateMarch 4, 20203 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
NPI 1609257450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

3302 MANSFIELD RD, Shreveport, LA 71103

Other Names 1

Doing Business AsScc Of Shreveport Manor Rehabilitation Center

Other Identifiers 2

Medicaid1517569LA
Other19-5515LA · Medicare Part A

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.

Skilled Nursing Facility
3302 MANSFIELD RD
SHREVEPORT, LA 71103
Skilled Nursing Facility
3302 MANSFIELD RD
SHREVEPORT, LA 71103
Nurse Practitioner (Family)
3302 MANSFIELD RD
SHREVEPORT, LA 71103

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 Shreveport Scc LLC's NPI number?

The NPI number for Shreveport Scc LLC is 1609257450. It was assigned to this organization in the NPPES registry on June 17, 2015. The provider is doing business as Scc Of Shreveport Manor Rehabilitation Center.

Where is Shreveport Scc LLC located?

Shreveport Scc LLC is located at 3302 Mansfield Rd, Shreveport, LA 71103. The listed phone number is (318) 222-9482.

What is Shreveport Scc LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Shreveport Scc LLC was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.