Shreveport Manor, LLC
NPI 1417999780 · Skilled Nursing Facility · Shreveport, LA
Shreveport Manor, LLC is a Skilled Nursing Facility organization in Shreveport, LA (NPI 1417999780).
Provider details
- NPI number
- 1417999780
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Gamble, Officer(318) 798-2648
- License
- 866 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2010-08-27
Frequently asked questions
- What is Shreveport Manor, LLC's NPI number?
- Shreveport Manor, LLC's National Provider Identifier (NPI) is 1417999780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shreveport Manor, LLC?
- Shreveport Manor, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Shreveport Manor, LLC located?
- Shreveport Manor, LLC's practice location on file with NPPES is 3302 Mansfield Rd, Shreveport, LA 71103-4106.
- What is Shreveport Manor, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shreveport Manor, LLC is (318) 222-9482.
- Who is the authorized official for Shreveport Manor, LLC?
- The authorized official listed on Shreveport Manor, LLC's NPPES record is Kevin Gamble, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shreveport Manor, LLC's NPI active?
- Yes — Shreveport Manor, LLC's NPI (1417999780) is active in the NPPES registry as of the last update on 2010-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.