Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pmg Opco-Springlake LLC

Organization Skilled Nursing Facility · NPI 1992266316

Pmg Opco-Springlake LLC is a Skilled Nursing Facility in Shreveport, Louisiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8622 Line Ave
Shreveport, LA 71106-6108
Phone: (318) 868-4126
Fax: (318) 868-9084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1992266316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Boulware — Managing Member · (972) 428-0900
Other names Spring Lake Skilled Nursing And Rehabilitation
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019
Mailing address8622 Line Ave, Shreveport, LA 71106-6108

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