NPIMap

Organization Active NPI

Complete Personal Care Services LLC

  • In Home Supportive Care Agency
  • Denham Springs, LA
National Provider Identifier
1053844845
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2203783218 Issued in LA
Legal business name
COMPLETE PERSONAL CARE SERVICES LLC
Practice address
140 Aspen SQ Ste B
Denham Springs, LA 70726-5323
Phone
(225) 380-1613
Fax
(225) 243-4349
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Mrs. Hope Clark
Title
Ceo
Phone
(225) 380-1613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2203783218 LA Primary

Addresses

Primary practice location

140 Aspen SQ Ste B
Denham Springs, LA 70726-5323

Mailing address

140 Aspen SQ Ste B
Denham Springs, LA 70726-5323
Phone (225) 380-1613

Other identifiers 1

IdentifierTypeStateIssuer
1722022MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Complete Personal Care Services 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.

Locations

140 Aspen Sq
Ste B
Denham Springs, LA 70726
Phone (225) 380-1613

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1053844845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ASPEN SQ STE B",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265323",
            "telephone_number": "225-380-1613",
            "fax_number": "225-243-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ASPEN SQ STE B",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265323",
            "telephone_number": "225-380-1613",
            "fax_number": "225-243-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-380-1613",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "2203783218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722022",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.