MEDICARE: LA FIRST STREET, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1821684432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA FIRST STREET, LLC

Provider Business Mailing Address
First Line	:	24641 US HIGHWAY 19 N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33763-5007
Country	:	US
Telephone Number	:	727-210-0781
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 1ST ST NE
Second Line	:
City	:	SPRINGHILL
State	:	LA
Zip	:	71075-3217
Country	:	US
Telephone Number	:	318-539-3527
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED AGENT
Name	:	MR. ROY B BRIDGES
Credential	:
Telephone Number	:	727-330-2801

Provider Enumeration Date	:	12/17/2020
Last Update Date	:	12/17/2020

Similar Medicare Providers

1881693489 — FOUNTAIN VIEW 215 TENANT, LLC
Practice Location Address:

215 1ST ST NE
SPRINGHILL, LA
71075-3217

Practice Phone: 318-539-3956
Practice Fax: 318-539-3583

1932496445 — CPLACE OF SPRINGHILL SNF, LLC
Practice Location Address:

215 1ST ST NE
SPRINGHILL, LA
71075-3217

Practice Phone: 318-539-3527
Practice Fax:

1922892280 — PMG OPCO - SPRINGHILL LLC
Practice Location Address:

215 1ST ST NE
SPRINGHILL, LA
71075-3217

Practice Phone: 318-539-3527
Practice Fax:

1619825197 — MEGAN E MADDEN FNP
Practice Location Address:

215 1ST ST NE
SPRINGHILL, LA
71075-3217

Practice Phone: 318-588-8871
Practice Fax:

1447250329 — BASAVAPUNNA R KAZA M.D.
Practice Location Address:

1100 DOCTORS DR
SPRINGHILL, LA
71075-4528

Practice Phone: 318-539-3809
Practice Fax: 318-539-4189

1194711101 — BELL OAKS INC-BURTON HOUSE
Practice Location Address:

228 N MAIN ST
SPRINGHILL, LA
71075-3248

Practice Phone: 318-539-5691
Practice Fax: 318-539-3621

Directions to “LA FIRST STREET, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.