Northwest la Incs, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

11761 Issued in LA

Legal business name

NORTHWEST LA INCS, LLC

Practice address

4111 Metro Dr
Shreveport, LA 71109-6001

Phone

(318) 636-0390

Fax

(318) 635-3298

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy S Parker, R.N.

Title

Regional Coordinator

Phone

(318) 636-0390

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northwest la Incs LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• An Endless Love Home Care, LLC

  • Point of Service
  • Shreveport, LA
  • NPI 1083743041
  NPD tax ID
• Northwest la Incs, LLC

  • Point of Service
  • Shreveport, LA
  • NPI 1356466742
  NPD tax ID
• Northwest la Incs, LLC

  • Point of Service
  • Shreveport, LA
  • NPI 1700901683
  NPD tax ID

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023133808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 METRO DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096001",
            "telephone_number": "318-636-0390",
            "fax_number": "318-635-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 METRO DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096001",
            "telephone_number": "318-636-0390",
            "fax_number": "318-635-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST LA INCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGIONAL COORDINATOR",
        "authorized_official_telephone_number": "318-636-0390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "11761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106364",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast la Pharmacy
• Northern Louisiana Cardiac Services LLC
• Northwest CMHC, L.L.C.
• Northwest Coalition for the Health of Women & Children-NFP
• Northwest Imaging, LLC
• Northwest la Incs, LLC
• Northwest la Incs, LLC
• Northwest Louisiana Behavioral Health System
• Northwest Louisiana Intensivists LLC
• Northwest Louisiana Nephrology, LLC

• Point of Service in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Point of Service in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.