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PECAN GROVE COMMUNITY HOME
NPI 1801124284
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mansfield, LA

Active since November 24, 2009
167 POOLE RD, MANSFIELD, LA 71052(318) 442-2284(318) 448-1427 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pecan Grove Community Home NPPES

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

PECAN GROVE COMMUNITY HOME (NPI 1801124284) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Mansfield, Louisiana and active in the NPI registry since November 2009. The organization lists James B. Colwell, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1801124284
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOLWELL INTEREST, INC.
Location Address167 POOLE RDMansfield, LA 71052-5007
Mailing Address1111 Main StPineville, LA 71360-6423 · (318) 442-2284 · Fax (318) 448-1427
Phone(318) 442-2284
Fax(318) 448-1427
Organization SubpartYes
Authorized OfficialJames B. ColwellProgram Manager · (318) 442-2284
Enumeration DateNovember 24, 2009
✔ NPI 1801124284 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 · 1062
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
167 POOLE RD, Mansfield, LA 71052
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Other Names 1

Doing Business AsPecan Grove Community Home

Other Identifiers 1

Medicaid1718971LA

Other Providers at the Same Location NPPES

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

POOLE HOME & RETREAT
Case Management
167 POOLE RD
MANSFIELD, LA 71052
De Soto Parish (318) 750-6549

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 Colwell Interest, Inc.'s NPI number?

The NPI number for Colwell Interest, Inc. is 1801124284. It was assigned to this organization in the NPPES registry on November 24, 2009. The provider is doing business as Pecan Grove Community Home.

Where is Colwell Interest, Inc. located?

Colwell Interest, Inc. is located at 167 Poole Rd, Mansfield, LA 71052. The listed phone number is (318) 442-2284.

What is Colwell Interest, Inc.'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 Colwell Interest, Inc. was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.