Active NPI
The Carpenter Center for Palliative Medicine of Shreveport, LLC
- General Acute Care Hospital
- Shreveport, LA
National Provider Identifier
1366064016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- THE CARPENTER CENTER FOR PALLIATIVE MEDICINE OF SHREVEPORT, LLC
- Practice address
- 8950 E Kings Hwy
Shreveport, LA 71115-2704 - Phone
- (225) 368-3181
- NPI assigned
- May 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Sandifer
- Title
- Agent
- Phone
- (225) 368-3181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
8950 E Kings Hwy
Shreveport, LA 71115-2704
Mailing address
10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589500800000",
"number": "1366064016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10615 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708097230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 E KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152704",
"telephone_number": "225-368-3181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CARPENTER CENTER FOR PALLIATIVE MEDICINE OF SHREVEPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A",
"authorized_official_last_name": "SANDIFER",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "225-368-3181"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.