Pmg Opco-Springlake LLC
NPI 1063974335ActiveOrganization· Assisted Living Facility· Shreveport, LA
Assisted Living Facility in Shreveport, Louisiana, registered in NPPES in April 2019. The authorized official on file is Steven Boulware, Managing Member.
Overview
| NPI | 1063974335 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2019 |
| Last updated in NPPES | Apr 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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