Organization Active NPI

An Endless Love Home Care, LLC

  • Point of Service
  • Shreveport, LA
National Provider Identifier
1083743041
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
11761 Issued in LA
Legal business name
AN ENDLESS LOVE HOME CARE, LLC
Practice address
6003 Financial PLZ
Shreveport, LA 71129-2670
Phone
(318) 636-0390
Fax
(318) 635-3298
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Ms. Eunice WilkersonNPI 1124591706
Title
Director
Phone
(318) 636-0390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Point of Service 305S00000X 11761 LA Primary

Addresses

Primary practice location

6003 Financial PLZ
Shreveport, LA 71129-2670

Mailing address

6259 Tinker Street
Shreveport, LA 71109
Phone (318) 636-0390

Other identifiers 1

IdentifierTypeStateIssuer
1172260MedicaidLA

Other names 1

  • Northwest LA INCS, LLC Former legal business name

National Provider Directory

National Provider Directory
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.

Locations

6003 Financial Plz
Shreveport, LA 71129
Phone (318) 636-0390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1083743041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 TINKER STREET",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71109",
            "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": "6003 FINANCIAL PLZ",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292670",
            "telephone_number": "318-636-0390",
            "fax_number": "318-635-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ENDLESS LOVE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-636-0390",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "11761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172260",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest LA INCS, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 21, 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.