Active NPI
Eugene Lee
- In Home Supportive Care Agency
- Shreveport, LA
National Provider Identifier
1407232036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 2701 Stanberry Dr
15
Shreveport, LA 71118-3252 - Phone
- (318) 840-3248
- NPI assigned
- Aug 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2701 Stanberry Dr
15
Shreveport, LA 71118-3252
Mailing address
2701 Stanberry Dr
15
Shreveport, LA 71118-3252
Phone (318) 840-3248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1407232036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 STANBERRY DR",
"address_2": "15",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183252",
"telephone_number": "318-840-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 STANBERRY DR",
"address_2": "15",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183252",
"telephone_number": "318-840-3248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EUGENE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"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 Aug 5, 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.