OrganizationActive
Community Bridges South, Inc.
NPI 1477689867 · Intellectual Disabilities Intermediate Care Facility · Ruston, LA
Provider details
- NPI number
- 1477689867
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Reynolds, Ceo(318) 255-1937
- License
- 1037 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
150 Trace Dr
Ruston, LA 71270-3449
Phone: (318) 255-1937
Fax: (318) 255-8233
Street-level locationGet directions
Mailing address
Po Box 715
Ruston, LA 71273-0715
Other names (DBA / former)
- Doing business as
- Trace Drive Residence
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.