NPIMap

Organization Active NPI

Personal Care Service of Carencro,LLC

  • Home Health Agency
  • Carencro, LA
National Provider Identifier
1114195567
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONAL CARE SERVICE OF CARENCRO,LLC
Practice address
403 Veterans Dr
Carencro, LA 70520-3520
Phone
(337) 886-3073
Fax
(337) 886-1413
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Pearlie B Flugence
Title
Administrator/Manager
Phone
(337) 886-3073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

403 Veterans Dr
Carencro, LA 70520-3520

Mailing address

403 Veterans Dr
Carencro, LA 70520-3520
Phone (337) 886-3073

Other identifiers 1

IdentifierTypeStateIssuer
ADHC 4444OtherLADEPT.OF HEALTH & HOSPITAL

National Provider Directory

National Provider Directory
Tax ID family
Personal Care Service of Carencro 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.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1114195567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VETERANS DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203520",
            "telephone_number": "337-886-3073",
            "fax_number": "337-886-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VETERANS DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203520",
            "telephone_number": "337-886-3073",
            "fax_number": "337-886-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE SERVICE OF CARENCRO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "FLUGENCE",
        "authorized_official_first_name": "PEARLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "337-886-3073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT.OF HEALTH & HOSPITAL",
            "identifier": "ADHC 4444",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.