Organization Active NPI

Shoulders of Strength, Inc.

  • Case Management Agency
  • Monroe, LA
National Provider Identifier
1205297900
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SHOULDERS OF STRENGTH, INC.
Practice address
2900 Cameron St
Monroe, LA 71201-3714
Phone
(318) 323-9995
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Antoinette M Clark
Title
Owner
Phone
(318) 323-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2900 Cameron St
Monroe, LA 71201-3714

Mailing address

2900 Cameron St
Monroe, LA 71201-3714
Phone (318) 323-9995

Other identifiers 1

IdentifierTypeStateIssuer
1816019MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Shoulders of Strength Inc3 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": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1205297900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CAMERON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013714",
            "telephone_number": "318-323-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CAMERON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013714",
            "telephone_number": "318-323-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOULDERS OF STRENGTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-323-9995"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1816019",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.