Shoulders of Strength, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

CM2701600000 Issued in LA

Legal business name

SHOULDERS OF STRENGTH, INC

Practice address

2800 Youree Dr
Suite 350
Shreveport, LA 71104-3661

Phone

(318) 323-9995

Fax

(318) 325-8943

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Antoinette Clark

Title

Owner

Phone

(318) 235-4878

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Shoulders of Strength Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Shoulders of Strength Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1295949089
  NPD tax ID
• Shoulders of Strength, Inc.

  • Case Management Agency
  • Monroe, LA
  • NPI 1205297900
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammi Jackson

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1073153078
  NPD (past)
• Ungela Jackson

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1760016380
  NPD (past)
• Daniel Richter

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1255932026
  NPD (past)
• Early Reed, MSW

  • Case Manager/Care Coordinator
  • Atlanta, TX
  • NPI 1841885738
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1326331703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CAMERON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013714",
            "telephone_number": "318-323-9995",
            "fax_number": "318-325-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 YOUREE DR",
            "address_2": "SUITE 350",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043661",
            "telephone_number": "318-323-9995",
            "fax_number": "318-325-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOULDERS OF STRENGTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-235-4878"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM2701600000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925004",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryce Shonka
• Wylie Lee Shores, R.PH.
• Virginia W Short, MD
• Kaitlyn Shermae Shorter
• Kaleb Sherman Shorter
• MD Manjurul Islam Shourav
• Taylor Shows
• Shreveport Anesthesia Providers LLC
• Shreveport Anesthesia Services
• Shreveport Aquatic and Land Physical Therapy. LLC

• Case Management Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Management Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.