Senior Management Services of Shreveport LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SENIOR MANAGEMENT SERVICES OF SHREVEPORT LLC

Doing business as

NurseCare Nursing & Rehabilitation Center

Practice address

1736 Irving PL
Shreveport, LA 71101-4606

Phone

(318) 221-1983

Fax

(318) 222-2095

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Troy Clanton

Title

President

Phone

(817) 468-1991

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NurseCare Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043209372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W ARBROOK BLVD",
            "address_2": "STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154327",
            "telephone_number": "817-468-1991",
            "fax_number": "817-468-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 IRVING PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014606",
            "telephone_number": "318-221-1983",
            "fax_number": "318-222-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MANAGEMENT SERVICES OF SHREVEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLANTON",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-468-1991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522104",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NurseCare Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Skilled Nursing Facility 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.