Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COMMUNITY BRIDGES SOUTH, INC.
Active
Organization
COMMUNITY BRIDGES SOUTH, INC.
Active
Other names
Braswell Lane Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE L. REYNOLDS (CEO)
(318) 255-1937
Entity
Organization
Contact information
Practice address
560 BRASWELL LANE, SIMSBORO, LA 71275
(318) 255-1937
(318) 255-8233
Mailing address
PO BOX 715, RUSTON, LA 71273-0715
(318) 255-1937
(318) 255-8233
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1038
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710008
—
LA
Enumeration date
02/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up