Organization Active NPI

Elite Concierge Care, LLC

  • Nursing Care Agency
  • Shreveport, LA
National Provider Identifier
1144785486
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ELITE CONCIERGE CARE, LLC
Doing business as
Elite Concierge Care, LLC
Practice address
9051 Mansfield Rd Ste C3
Shreveport, LA 71118-2682
Phone
(318) 626-5036
Fax
(318) 626-5034
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Mrs. Jennifer Williams, LPN
Title
LPN/Care Manager
Phone
(318) 626-5036

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

9051 Mansfield Rd Ste C3
Shreveport, LA 71118-2682

Mailing address

2535 Bert Kouns Industrial Loop Ste 203-138
Shreveport, LA 71118-3159
Phone (318) 626-5036

Other names 1

  • Elite Concierge Care, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

9051 Mansfield Rd
Ste C3
Shreveport, LA 71118
Phone (318) 626-5036

2535 Bert Kouns Industrial Loop
Ste 203138
Shreveport, LA 71118

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1144785486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BERT KOUNS INDUSTRIAL LOOP STE 203-138",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183159",
            "telephone_number": "318-626-5036",
            "fax_number": "318-626-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 MANSFIELD RD STE C3",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182682",
            "telephone_number": "318-626-5036",
            "fax_number": "318-626-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CONCIERGE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LPN/CARE MANAGER",
        "authorized_official_telephone_number": "318-626-5036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Concierge Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2019; 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.