Organization Active NPI

Harris Personal Care LLC

  • Home Health Agency
  • Bastrop, LA
National Provider Identifier
1235396219
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7477
Legal business name
HARRIS PERSONAL CARE LLC
Practice address
148 S Liberty St
Bastrop, LA 71220-4623
Phone
(318) 283-7572
Fax
(318) 283-7573
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Minnie Harris
Title
Office Manager
Phone
(318) 283-7572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7477 Primary
Durable Medical Equipment & Medical Supplies 332B00000X 7477

Addresses

Primary practice location

148 S Liberty St
Bastrop, LA 71220-4623

Mailing address

148 S Liberty St
Bastrop, LA 71220-4623
Phone (318) 283-7572

Other identifiers 1

IdentifierTypeStateIssuer
1502774MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Harris Personal Care LLC4 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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1235396219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S LIBERTY ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204623",
            "telephone_number": "318-283-7572",
            "fax_number": "318-283-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S LIBERTY ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204623",
            "telephone_number": "318-283-7572",
            "fax_number": "318-283-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-283-7572"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "7477",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "7477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502774",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.