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Provincial Community Home Inc

Intellectual Disabilities Intermediate Care Facility in Mansfield, LA · enumerated 2007 · authorized official Johnny Terrell, Administrator.

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

National Provider Identifier

1780894477

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Provincial Community Home Inc
Other name <Unavail>
Practice address 167 Poole Road, Mansfield, LA, 71052
Phone (318) 872-0206
Fax (318) 872-8833
Enumeration date May 23, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 636 (LA) Primary

Authorized official

Name Johnny Terrell
Title Administrator
Phone (318) 872-0206

Other identifiers

Identifier Type State Issuer
1718971 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

Who is the authorized official for Provincial Community Home Inc?
NPPES lists Johnny Terrell (Administrator) as the authorized official for this organization.
What is the NPI number for Provincial Community Home Inc?
The NPI for Provincial Community Home Inc is 1780894477, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.