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BENTON STREET HOME
NPI 1770619876
Intermediate Care Facility, Intellectual Disabilities in Ruston, LA

Active since February 26, 2007
1400 BENTON ST, RUSTON, LA 71270(318) 255-1937(318) 255-8233 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benton Street Home NPPES

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

BENTON STREET HOME (NPI 1770619876) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ruston, Louisiana and active in the NPI registry since February 2007. The organization lists Michael L Reynolds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770619876
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY BRIDGES SOUTH
Location Address1400 BENTON STRuston, LA 71270-5404
Mailing AddressPo Box 715Ruston, LA 71273-0715 · (318) 255-1937 · Fax (318) 255-8233
Phone(318) 255-1937
Fax(318) 255-8233
Organization SubpartNo
Authorized OfficialMichael L ReynoldsCeo · (318) 255-1937
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770619876 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 · 1010
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1400 BENTON ST, Ruston, LA 71270
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Other Names 1

Doing Business AsBenton Street Home

Other Identifiers 1

Medicaid1710008LA

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's NPI number?

The NPI number for Community Bridges South is 1770619876. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Benton Street Home.

Where is Community Bridges South located?

Community Bridges South is located at 1400 Benton St, Ruston, LA 71270. The listed phone number is (318) 255-1937.

What is Community Bridges South's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Community Bridges South 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 5 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.