Organization Active NPI

S & L Pca Services LLC

  • In Home Supportive Care Agency
  • Brooklyn Park, MN
National Provider Identifier
1386003655
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
016943 Issued in TX
Legal business name
S & L PCA SERVICES LLC
Practice address
9904 Linden Ave N
Brooklyn Park, MN 55443-1851
Phone
(832) 754-9753
Fax
(832) 754-9753
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Mrs. Sharon D EllisNPI 1952762742
Title
Owner
Phone
(832) 754-9753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 016943 TX Primary

Addresses

Primary practice location

9904 Linden Ave N
Brooklyn Park, MN 55443-1851

Mailing address

9904 Linden Ave N
Brooklyn Park, MN 55443-1851
Phone (832) 754-9753

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1386003655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 LINDEN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431851",
            "telephone_number": "832-754-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 LINDEN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431851",
            "telephone_number": "832-754-9753",
            "fax_number": "832-754-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & L PCA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-754-9753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "016943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.