Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.

Comprehensive Outpatient Rehabilitation Facility (CORF) in Shreveport, LA · enumerated 2005 · authorized official Dewarrent Brantley, Ceo/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407853716

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Registry record

Entity type Organization (Type 2)

Legal business name Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.

Practice address 2005 Creswell Ave, Shreveport, LA, 71104

Phone (318) 676-0705

Fax (318) 676-0709

Enumeration date Jun 30, 2005

Last updated in NPPES Aug 18, 2011

Taxonomy & classification

261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Ambulatory Health Care Facilities Primary

Authorized official

Name Dewarrent Brantley

Title Ceo/President

Phone (318) 676-0705

Other identifiers

Identifier	Type	State	Issuer
1159310	Medicaid	LA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. located?

The practice location on file with NPPES is in Shreveport, LA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-08-18. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-18.