Organization Active NPI

Northeast Louisiana Health Solutions

Doing business as Americare

  • Chore Provider
  • Monroe, LA
National Provider Identifier
1316103062
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
15073 Issued in LA
Legal business name
NORTHEAST LOUISIANA HEALTH SOLUTIONS
Doing business as
Americare
Practice address
1812 Glenmar Ave
Suite B
Monroe, LA 71201-4932
Phone
(318) 329-1101
Fax
(318) 329-1107
NPI assigned
Aug 1, 2008
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Michael S Davidson
Title
Owner/Administrator
Phone
(318) 329-1101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 15073 LA Primary
Chore Provider 372500000X 2203782471 LA

Addresses

Primary practice location

1812 Glenmar Ave
Suite B
Monroe, LA 71201-4932

Mailing address

1812 Glenmar Ave
Suite B
Monroe, LA 71201-4932
Phone (318) 329-1101

Other identifiers 3

IdentifierTypeStateIssuer
1699931345MedicaidLA
1821333030MedicaidLA
1083877237MedicaidLA

Other names 1

  • Americare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Americare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1316103062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 GLENMAR AVE",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014932",
            "telephone_number": "318-329-1101",
            "fax_number": "318-329-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 GLENMAR AVE",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014932",
            "telephone_number": "318-329-1101",
            "fax_number": "318-329-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST LOUISIANA HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "318-329-1101"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "LA",
            "license": "15073",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "LA",
            "license": "2203782471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699931345",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821333030",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083877237",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Americare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 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.