Individual provider Active NPI

Shemika Nicole Caldwell

  • Personal Care Attendant
  • Shreveport, LA
National Provider Identifier
1083180061
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
22033784107 Issued in LA
Practice address
2100 E 70TH St Ste C
Shreveport, LA 71105-5363
Phone
(318) 670-7015
Fax
(318) 588-7844
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X 22033784107 LA Primary

Addresses

Primary practice location

2100 E 70TH St Ste C
Shreveport, LA 71105-5363

Mailing address

2100 E 70TH St Ste C
Shreveport, LA 71105-5363
Phone (318) 670-7015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22033784107LAMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Hands of Hope Texas Community/Behavioral Health Current Accepting new patients
Hands of Hope Behavioral Health, LLC. Single Specialty Current Accepting new patients

Locations

2737 Mansfield Rd
Ste B
Shreveport, LA 71103

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1083180061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E 70TH ST STE C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055363",
            "telephone_number": "318-670-7015",
            "fax_number": "318-588-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E 70TH ST STE C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055363",
            "telephone_number": "318-670-7015",
            "fax_number": "318-588-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "SHEMIKA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "22033784107",
            "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 May 31, 2023; 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.