Provincial Community Home Inc
NPI 1659581379 · Intellectual Disabilities Intermediate Care Facility · Mansfield, LA
Provincial Community Home Inc is a Intellectual Disabilities Intermediate Care Facility organization in Mansfield, LA (NPI 1659581379).
Provider details
- NPI number
- 1659581379
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Johnny Terrell, Administrator(318) 872-0206
- License
- 659 (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
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
Mailing address
Other names (DBA / former)
- Other name
- Gibbs Street Community Home
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Provincial Community Home Inc's NPI number?
- Provincial Community Home Inc's National Provider Identifier (NPI) is 1659581379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provincial Community Home Inc?
- Provincial Community Home Inc is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Provincial Community Home Inc located?
- Provincial Community Home Inc's practice location on file with NPPES is 416 Gibbs Street, Mansfield, LA 71052-2618.
- What is Provincial Community Home Inc's phone number?
- The practice phone number listed in the NPPES registry for Provincial Community Home Inc is (318) 872-6817.
- Who is the authorized official for Provincial Community Home Inc?
- The authorized official listed on Provincial Community Home Inc's NPPES record is Johnny Terrell, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provincial Community Home Inc's NPI active?
- Yes — Provincial Community Home Inc's NPI (1659581379) is active in the NPPES registry as of the last update on 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.