NORTHWEST SUPPORTS AND SERVICES CENTER
NPI 1730307133
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bossier City, LA

Active since April 23, 2007
5401 SHED RD, BOSSIER CITY, LA 71111(318) 741-5230(318) 741-5303 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwest Supports And Services Center NPPES

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

NORTHWEST SUPPORTS AND SERVICES CENTER (NPI 1730307133), doing business as Northwest Louisiana Developmental Center, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bossier City, Louisiana and active in the NPI registry since April 2007. The organization lists David Colvin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730307133
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNORTHWEST SUPPORTS AND SERVICES CENTER
Location Address5401 SHED RDBossier City, LA 71111-5420
Mailing Address5401 Shed RdBossier City, LA 71111-5420 · (318) 741-5230 · Fax (318) 741-5303
Fax(318) 741-5303
Organization SubpartNo
Authorized OfficialDavid ColvinAdministrator · (318) 741-5200
Enumeration DateApril 23, 2007
Last NPPES UpdateFebruary 27, 2009
NPI 1730307133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in LA · SIL 12595
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

5401 SHED RD, Bossier City, LA 71111

Other Names 1

Former Legal Business NameNorthwest Louisiana Developmental Center

Other Identifiers 5

Medicaid1567230LA
Medicaid1156752LA
Medicaid1156761LA
Medicaid1408182LA
Medicaid1712035LA

Other Providers at the Same Location NPPES 13

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5401 SHED RD
BOSSIER CITY, LA 71111
Registered Nurse
5401 SHED RD
BOSSIER CITY, LA 71111
Social Worker (Clinical)
5401 SHED RD
BOSSIER CITY, LA 71111
Occupational Therapist (Pediatrics)
5401 SHED RD
BOSSIER CITY, LA 71111
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5401 SHED RD
BOSSIER CITY, LA 71111
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5401 SHED RD
BOSSIER CITY, LA 71111
Psychologist (Clinical)
5401 SHED RD
BOSSIER CITY, LA 71111
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5401 SHED RD
BOSSIER CITY, LA 71111

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 Northwest Supports And Services Center's NPI number?

The NPI number for Northwest Supports And Services Center is 1730307133. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider was formerly known as Northwest Louisiana Developmental Center.

Where is Northwest Supports And Services Center located?

Northwest Supports And Services Center is located at 5401 Shed Rd, Bossier City, LA 71111. The listed phone number is (318) 741-5230.

What is Northwest Supports And Services 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 Northwest Supports And Services Center was last updated on February 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.