NPIMap

Organization Active NPI

Companion Care of Southwest Louisiana

  • In Home Supportive Care Agency
  • Leesville, LA
National Provider Identifier
1366820714
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2203782335 Issued in LA
Legal business name
COMPANION CARE OF SOUTHWEST LOUISIANA
Practice address
407 B North 5TH Street
Leesville, LA 71446
Phone
(337) 404-4045
Fax
(337) 404-4066
NPI assigned
May 18, 2015
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Mr. Mark Wallace
Title
Owner
Phone
(337) 404-4045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2203782335 LA Primary

Addresses

Primary practice location

407 B North 5TH Street
Leesville, LA 71446

Mailing address

407 B North 5TH Street
Leesville, LA 71446
Phone (337) 404-4045

National Provider Directory

National Provider Directory
Tax ID family
Companion Care of Southwest Louisiana7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

407 N 5th St
Ste B
Leesville, LA 71446
Phone (337) 404-4045

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1366820714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 B NORTH 5TH STREET",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "71446",
            "telephone_number": "337-404-4045",
            "fax_number": "337-404-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 B NORTH 5TH STREET",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "71446",
            "telephone_number": "337-404-4045",
            "fax_number": "337-404-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION CARE OF SOUTHWEST LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-404-4045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "2203782335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.