Organization Active NPI

Choice Providers, LLC

  • Attendant Care Provider
  • Alexandria, LA
National Provider Identifier
1124558630
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
2203783331 Issued in LA
Legal business name
CHOICE PROVIDERS, LLC
Practice address
3600 Jackson St Ste 119
Alexandria, LA 71303-3096
Phone
(318) 484-7310
Fax
(318) 484-7374
NPI assigned
Jun 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Joseph William Basha Jr.
Title
Owner
Phone
(318) 623-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X 2203783331 LA Primary

Addresses

Primary practice location

3600 Jackson St Ste 119
Alexandria, LA 71303-3096

Mailing address

3600 Jackson St Ste 119
Alexandria, LA 71303-3096
Phone (318) 484-7310

Other identifiers 1

IdentifierTypeStateIssuer
1802719MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Choice Providers LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124558630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 JACKSON ST STE 119",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033096",
            "telephone_number": "318-484-7310",
            "fax_number": "318-484-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JACKSON ST STE 119",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033096",
            "telephone_number": "318-484-7310",
            "fax_number": "318-484-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BASHA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-623-0890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "LA",
            "license": "2203783331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802719",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.