Clc of Lake Providence, LLC
NPI 1902896657 · Skilled Nursing Facility · Lake Providence, LA
Clc of Lake Providence, LLC is a Skilled Nursing Facility organization in Lake Providence, LA (NPI 1902896657).
Provider details
- NPI number
- 1902896657
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Wright, Managing Member(662) 680-3148
- License
- 750 (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
Other names (DBA / former)
- Doing business as
- Lake Providence Subacute Rehab Center
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2008-01-28
Frequently asked questions
- What is Clc of Lake Providence, LLC's NPI number?
- Clc of Lake Providence, LLC's National Provider Identifier (NPI) is 1902896657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clc of Lake Providence, LLC?
- Clc of Lake Providence, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clc of Lake Providence, LLC located?
- Clc of Lake Providence, LLC's practice location on file with NPPES is 5976 Highway 65 N, Lake Providence, LA 71254-5235.
- What is Clc of Lake Providence, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clc of Lake Providence, LLC is (318) 559-4050.
- Who is the authorized official for Clc of Lake Providence, LLC?
- The authorized official listed on Clc of Lake Providence, LLC's NPPES record is Douglas Wright, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clc of Lake Providence, LLC's NPI active?
- Yes — Clc of Lake Providence, LLC's NPI (1902896657) is active in the NPPES registry as of the last update on 2008-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.