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Nova Vital Iop LLC

Substance Use Disorder Rehabilitation Clinic/Center in Shreveport, LA · enumerated 2023 · authorized official Mallory Macisaac, Controller.

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

National Provider Identifier

1477242196

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Registry record

Entity type Organization (Type 2)
Legal business name Nova Vital Iop LLC
Practice address 850 Margaret Pl, Shreveport, LA, 71101
Phone (318) 268-6101
Enumeration date May 8, 2023
Last updated in NPPES Apr 5, 2024

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Mallory Macisaac
Title Controller
Phone (318) 268-6101

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Nova Vital Iop LLC?
Nova Vital Iop LLC is registered in NPPES as a Substance Use Disorder Rehabilitation Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-05.