Organization Active NPI

HS Louisiana, LLC

  • General Practice Physician
  • Shreveport, LA
National Provider Identifier
1003269762
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HS LOUISIANA, LLC
Practice address
1501 Kings Hwy
Suite 5-303
Shreveport, LA 71103-4228
Phone
(904) 834-2679
Fax
(904) 395-3249
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Don Anthony Boselli Jr.
Title
President
Phone
(904) 834-2679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1501 Kings Hwy
Suite 5-303
Shreveport, LA 71103-4228

Mailing address

3546 Saint Johns Bluff Rd S
Suite 113
Jacksonville, FL 32224-2713
Phone (904) 834-2679

National Provider Directory

National Provider Directory

Locations

1501 Kings Hwy
Ste 5303
Shreveport, LA 71103
Phone (904) 834-2679

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1003269762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 SAINT JOHNS BLUFF RD S",
            "address_2": "SUITE 113",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242713",
            "telephone_number": "904-834-2679",
            "fax_number": "904-395-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "SUITE 5-303",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "904-834-2679",
            "fax_number": "904-395-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HS LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "BOSELLI",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-834-2679",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.