LAKE PROVIDENCE SUBACUTE REHAB CENTER
NPI 1902896657
Skilled Nursing Facility in Lake Providence, LA

Active since October 25, 2005
5976 HIGHWAY 65 N, LAKE PROVIDENCE, LA 71254(318) 559-4050(318) 559-4052 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Providence Subacute Rehab Center NPPES

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

LAKE PROVIDENCE SUBACUTE REHAB CENTER (NPI 1902896657) is a healthcare organization registered as a skilled nursing facility in Lake Providence, Louisiana and active in the NPI registry since October 2005. The organization lists Douglas M. Wright, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1902896657
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLC OF LAKE PROVIDENCE, LLC
Location Address5976 HIGHWAY 65 NLake Providence, LA 71254-5235
Mailing Address5976 Highway 65 NLake Providence, LA 71254-5235 · (318) 559-4050 · Fax (318) 559-4052
Fax(318) 559-4052
Organization SubpartNo
Authorized OfficialDouglas M. WrightManaging Member · (662) 680-3148
Enumeration DateOctober 25, 2005
Last NPPES UpdateJanuary 28, 2008
NPI 1902896657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in LA · 750
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
5976 HIGHWAY 65 N, Lake Providence, LA 71254

Other Names 1

Doing Business AsLake Providence Subacute Rehab Center

Other Identifiers 2

Medicare ID-Type Unspecified19-5432LA
Medicaid1520632LA

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
5976 HIGHWAY 65 N
LAKE PROVIDENCE, LA 71254

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 Clc Of Lake Providence, LLC's NPI number?

The NPI number for Clc Of Lake Providence, LLC is 1902896657. It was assigned to this organization in the NPPES registry on October 25, 2005. The provider is doing business as Lake Providence Subacute Rehab Center.

Where is Clc Of Lake Providence, LLC located?

Clc Of Lake Providence, LLC is located at 5976 Highway 65 N, Lake Providence, LA 71254. The listed phone number is (318) 559-4050.

What is Clc Of Lake Providence, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Clc Of Lake Providence, LLC was last updated on January 28, 2008. 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.