Bossier Scc LLC
Bossier Scc LLC is a healthcare organization registered as Skilled Nursing Facility in Bossier City, LA, holding Type 2 (organization) NPI 1851772610 since 2015. The authorized official on file is Michael Beal, Chief Executive Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1851772610 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bossier Scc LLC |
| Other name | <Unavail> |
| Practice address | 1524 DOCTORS DR, Bossier City, LA, 71111 |
| Phone | 3187421623 |
| Fax | 3187422878 |
| Enumeration date | 2015-06-17 |
| Last updated in NPPES | 2020-03-04 |
Authorized official
| Name | Michael Beal |
|---|---|
| Title | Chief Executive Officer |
| Phone | 2142527600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510696 | Medicaid | LA | — |
| 19-5594 | Other | LA | MEDICARE PART A |
Copy-ready billing details
Provider: Bossier Scc LLC NPI: 1851772610 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1524 DOCTORS DR, Bossier City, LA, 71111
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063454338 | Pilgrim Manor Guest Care Center, LLC | Organization | Skilled Nursing Facility | Bossier City, LA |
| 1669933081 | Pmg Opco-Pilgrim LLC | Organization | Skilled Nursing Facility | Bossier City, LA |
| 1114599032 | Thomas Clawson | Individual | Physical Therapist | Bossier City, LA |
| 1063257517 | Celina Brown | Individual | Family Nurse Practitioner | Bossier City, LA |
Verify this record
Cross-check NPI 1851772610 against the authoritative CMS record: view Bossier Scc LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bossier Scc LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-04.