NPIMap

Organization Active NPI

Brooks Personal Care Attendant Service LLC

  • Community/Behavioral Health Agency
  • Shreveport, LA
National Provider Identifier
1346416807
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PCA11279 Issued in LA
Legal business name
BROOKS PERSONAL CARE ATTENDANT SERVICE LLC
Practice address
9309 Crooked Creek Dr
Shreveport, LA 71118-4154
Phone
(318) 687-4589
Fax
(318) 687-4640
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Linda Brooks, SPEECH PATHOLOGIST
Title
Director
Phone
(318) 687-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PCA11279 LA Primary

Addresses

Primary practice location

9309 Crooked Creek Dr
Shreveport, LA 71118-4154

Mailing address

9309 Crooked Creek Dr
Shreveport, LA 71118-4154
Phone (318) 687-4589

National Provider Directory

National Provider Directory
Tax ID family
Brooks Personal Care Attendant Service LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1346416807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 CROOKED CREEK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184154",
            "telephone_number": "318-687-4589",
            "fax_number": "318-687-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 CROOKED CREEK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184154",
            "telephone_number": "318-687-4589",
            "fax_number": "318-687-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS PERSONAL CARE ATTENDANT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-687-4589",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SPEECH PATHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "PCA11279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.