NPIMap

Organization Active NPI

MLG Wellness & Caring Services

  • In Home Supportive Care Agency
  • Carencro, LA
National Provider Identifier
1174102388
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MLG WELLNESS & CARING SERVICES
Practice address
105 Nashua Dr
Carencro, LA 70520-6112
Phone
(337) 703-1123
NPI assigned
Apr 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Katera Marie Simmons, M.A, PHLEBOTOMY, CNANPI 1407435621
Title
Owner
Phone
(337) 703-1123

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 1

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

Addresses

Primary practice location

105 Nashua Dr
Carencro, LA 70520-6112

Mailing address

105 Nashua Dr
Carencro, LA 70520-6112
Phone (337) 703-1123

National Provider Directory

National Provider Directory

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": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1174102388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NASHUA DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206112",
            "telephone_number": "337-703-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NASHUA DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206112",
            "telephone_number": "337-703-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLG WELLNESS & CARING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KATERA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-703-1123",
        "authorized_official_credential": "M.A, PHLEBOTOMY, CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 5, 2021; 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.