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MAR BUD TRACE COMMUNITY HOME
NPI 1679756324
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pineville, LA

Active since December 17, 2007
5602 MAR BUD TRACE, PINEVILLE, LA 71361(318) 441-9905(318) 441-9905 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mar Bud Trace Community Home NPPES

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

MAR BUD TRACE COMMUNITY HOME (NPI 1679756324) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pineville, Louisiana and active in the NPI registry since December 2007. The organization lists Sherri A Evans, Mr Dd Regional Administrator, as its authorized official.

NPPES Registry Identity

NPI1679756324
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePINECREST DEVELOPMENTAL CENTER
Location Address5602 MAR BUD TRACEPineville, LA 71361
Mailing AddressPo Box 5191Pineville, LA 71361-5191 · (318) 641-2000 · Fax (318) 641-2309
Phone(318) 441-9905
Fax(318) 441-9905
Organization SubpartNo
Authorized OfficialSherri A EvansMr Dd Regional Administrator · (318) 641-2003
Enumeration DateDecember 17, 2007
✔ NPI 1679756324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in LA · 1612
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5602 MAR BUD TRACE, Pineville, LA 71361
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Other Names 1

Doing Business AsMar Bud Trace Community Home

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 Pinecrest Developmental Center's NPI number?

The NPI number for Pinecrest Developmental Center is 1679756324. It was assigned to this organization in the NPPES registry on December 17, 2007. The provider is doing business as Mar Bud Trace Community Home.

Where is Pinecrest Developmental Center located?

Pinecrest Developmental Center is located at 5602 Mar Bud Trace, Pineville, LA 71361. The listed phone number is (318) 441-9905.

What is Pinecrest 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 Pinecrest Developmental Center was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.