Bossier Council on Aging

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

04506690N Issued in LA

Legal business name

BOSSIER COUNCIL ON AGING

Practice address

706 Bearkat Dr
Bossier City, LA 71111-4566

Phone

(318) 741-8302

Fax

(318) 741-7490

NPI assigned

Feb 4, 2016

Last updated

Jun 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamara Crane, MA,MFA,CDP

Title

Executive Director

Phone

(318) 741-8302

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1235597311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 BEARKAT DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114566",
            "telephone_number": "318-741-8302",
            "fax_number": "318-741-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 BEARKAT DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114566",
            "telephone_number": "318-741-8302",
            "fax_number": "318-741-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSIER COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-741-8302",
        "authorized_official_credential": "MA,MFA,CDP"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "LA",
            "license": "04506690N",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Voluntary or Charitable Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.