NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC – NPI #1558203190
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC is a substance abuse rehabilitation facility located in NATCHITOCHES, LA. NPPES recently assigned the NPI number 1558203190 to NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC on April 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC below.

NPI Profile for
NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC

NPI Number
1558203190
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC
Primary location
720 KEYSER AVE
NATCHITOCHES, LA 71457-6043
Phone: (318) 228-1959 Fax:
Mailing address
8520 BUSINESS PARK DR
SHREVEPORT, LA 71105-5654
Phone: (318) 228-1959 Fax:
Organization Subpart
No
Authorized Official
DENNY GAMBLE
OWNER/MANAGING MEMBER
Phone: (318) 458-6254
Updated
Certification Date
Apr 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.