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

Shreveport Manor, LLC

Organization Skilled Nursing Facility · NPI 1417999780

Shreveport Manor, LLC is a Skilled Nursing Facility in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
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

3302 Mansfield Rd
Shreveport, LA 71103-4106
Phone: (318) 222-9482
Fax: (318) 424-9985
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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 · Licence 866 (LA)

Record details

NPI number1417999780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Gamble — Officer · (318) 798-2648
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 27, 2010
Mailing addressPo Box 52389, Shreveport, LA 71135-2389

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