NPIMap

Organization Active NPI

Exectional Client Care Services

  • Home Health Agency
  • Ruston, LA
National Provider Identifier
1144404054
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA 6660 Issued in LA
Legal business name
EXECTIONAL CLIENT CARE SERVICES
Practice address
919 N Trenton St Ste 101
Ruston, LA 71270-3375
Phone
(318) 242-0041
Fax
(318) 513-1016
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Miss Jenny Kim Choi
Title
Program Director
Phone
(318) 242-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA 6660 LA Primary

Addresses

Primary practice location

919 N Trenton St Ste 101
Ruston, LA 71270-3375

Mailing address

919 N Trenton St Ste 101
Ruston, LA 71270-3375
Phone (318) 242-0041

Other identifiers 1

IdentifierTypeStateIssuer
1706299MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Exceptional Client Care Services II4 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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1144404054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N TRENTON ST STE 101",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703375",
            "telephone_number": "318-242-0041",
            "fax_number": "318-513-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N TRENTON ST STE 101",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703375",
            "telephone_number": "318-242-0041",
            "fax_number": "318-513-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECTIONAL CLIENT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "318-242-0041",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 6660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706299",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.