Pinecrest Developmental Center
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Alexandria, LA. Organization (NPI-2).
Details
- NPI
- 1457576977
- Entity type
- Organization (NPI-2)
- Legal business name
- Pinecrest Developmental Center
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1006 | LA | Yes |
Other names
- Madonna Drive Community Home (Doing Business As)
Practice location
3207 Madonna DrAlexandria, LA 71301-4816
Phone 318-484-9964 · Fax 318-641-2309
Mailing address
Po Box 5191Pineville, LA 71361-5191
Phone 318-484-9964 · Fax 318-641-2309
Authorized official
Sherri A Evans
Mr Dd Regional Administrator
3186412003
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Alexandria · All 3,293 providers in Alexandria
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