WALNUT CREEK COMMUNITY HOME
NPI 1649495912
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Simsboro, LA

Active since April 13, 2007
177 WALNUT CREEK RD, SIMSBORO, LA 71275(318) 247-4204(318) 247-4254 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Walnut Creek Community Home NPPES

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

WALNUT CREEK COMMUNITY HOME (NPI 1649495912) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Simsboro, Louisiana and active in the NPI registry since April 2007. The organization lists Janet Robinson, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1649495912
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameRUSTON DEVELOPMENTAL CENTER
Location Address177 WALNUT CREEK RDSimsboro, LA 71275-3205
Mailing AddressPo Box 907Ruston, LA 71273-0907 · (318) 247-4204 · Fax (318) 247-4254
Fax(318) 247-4254
Organization SubpartNo
Authorized OfficialJanet RobinsonDirector Of Administrative Services · (318) 247-4213
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1649495912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in LA · 943
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
177 WALNUT CREEK RD, Simsboro, LA 71275

Other Names 1

Other NameWalnut Creek Community Home

Other Identifiers 1

Medicaid1725030LA

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 Ruston Developmental Center's NPI number?

The NPI number for Ruston Developmental Center is 1649495912. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is also known as Walnut Creek Community Home.

Where is Ruston Developmental Center located?

Ruston Developmental Center is located at 177 Walnut Creek Rd, Simsboro, LA 71275. The listed phone number is (318) 247-4204.

What is Ruston Developmental Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Ruston Developmental Center 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.