Organization Active NPI

Regional Healthcare Services - Southwest, LLC

  • In Home Supportive Care Agency
  • Lake Charles, LA
National Provider Identifier
1255718011
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1014591 Issued in LA
Legal business name
REGIONAL HEALTHCARE SERVICES - SOUTHWEST, LLC
Practice address
710 W Prien Lake Rd Ste 206
Lake Charles, LA 70601-8351
Phone
(318) 446-0231
NPI assigned
Apr 30, 2015
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL HEALTHCARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Benjamin Cooper
Title
Manager
Phone
(318) 446-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1014591 LA Primary

Addresses

Primary practice location

710 W Prien Lake Rd Ste 206
Lake Charles, LA 70601-8351

Mailing address

PO Box 13566
Alexandria, LA 71315-3566
Phone (318) 446-0231

Other identifiers 1

IdentifierTypeStateIssuer
6986MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Regional Healthcare Services - Southwest LLC2 organizations share this tax ID, including this one
Part of
Regional Healthcare Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1255718011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13566",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153566",
            "telephone_number": "318-446-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W PRIEN LAKE RD STE 206",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018351",
            "telephone_number": "318-446-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTHCARE SERVICES - SOUTHWEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTHCARE SERVICES, LLC",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-446-0231"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "1014591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6986",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.