Classic Care of Baton Rouge, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

PCA 15368 Issued in LA

Legal business name

CLASSIC CARE OF BATON ROUGE, INC.

Doing business as

SUPRA Home Care of Shreveport

Practice address

1321 Sibley Rd
Suite a
Minden, LA 71055-5100

Phone

(318) 371-1801

Fax

(318) 371-1810

NPI assigned

Oct 27, 2010

Last updated

Oct 27, 2010By 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

Larry Butler

Title

President/Ceo

Phone

(504) 837-5557

Specialties & licenses 1

Addresses

Other names 1

• SUPRA Home Care of Shreveport Doing business as

Locations

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1265732960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6588",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700096588",
            "telephone_number": "504-837-5557",
            "fax_number": "504-833-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SIBLEY RD",
            "address_2": "SUITE A",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710555100",
            "telephone_number": "318-371-1801",
            "fax_number": "318-371-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE OF BATON ROUGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "504-837-5557"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "PCA 15368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPRA Home Care of Shreveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Chapman, APRN, NP-C
• Chess Group, LLC (Emurgent Care of Minden)
• Mark Allen Cimino, M.D.
• Glenda Clark
• Rebecca S. Clark, F.N.P.
• CLHG - Minden, LLC
• CLHG - Minden, LLC (Minden Medical Center)
• CLHG - Minden, LLC (Minden Medical Center)
• CLHG-Minden, LLC (Minden Medical Center Reference Lab)
• Alexandra Collier, WHNP-BC

• In Home Supportive Care Agency in Minden, LA
• Providers in Minden, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.