NPIMap

Organization Active NPI

South Regional Personal Care Service, LLC

  • Home Health Agency
  • Baton Rouge, LA
National Provider Identifier
1326558867
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2203782592 Issued in LA
Legal business name
SOUTH REGIONAL PERSONAL CARE SERVICE, LLC
Practice address
10319 Old Hammond Hwy Ste B1
Baton Rouge, LA 70816-8288
Phone
(225) 367-1649
NPI assigned
Oct 11, 2017
Last updated
Oct 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Shannah HickersonNPI 1477200368
Title
Owner
Phone
(225) 367-1649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Home Health Agency 251E00000X 2203782592 LA Primary

Addresses

Primary practice location

10319 Old Hammond Hwy Ste B1
Baton Rouge, LA 70816-8288

Mailing address

13811 Parkway Dr
Denham Springs, LA 70726-8819
Phone (225) 333-2178

National Provider Directory

National Provider Directory
Tax ID family
South Regional Personal Care Service LLC3 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1326558867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 PARKWAY DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707268819",
            "telephone_number": "225-333-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 OLD HAMMOND HWY STE B1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168288",
            "telephone_number": "225-367-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH REGIONAL PERSONAL CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "HICKERSON",
        "authorized_official_first_name": "SHANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-367-1649"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "2203782592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.