St. Matthew's Direct Care Service

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

20081 Issued in LA

Legal business name

ST. MATTHEW'S DIRECT CARE SERVICE

Practice address

2620 Centenary Blvd
BLDG 1 Suite 104
Shreveport, LA 71104-3356

Phone

(318) 213-2273

Fax

(318) 213-2275

NPI assigned

Jul 31, 2008

Last updated

Feb 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew J Sneed

Title

Chief Administrator

Phone

(318) 213-2273

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

St Matthew's Direct Care Service4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• St. Matthew's Direct Care Service

  • Home Health Agency
  • Shreveport, LA
  • NPI 1396901021
  NPD tax ID
• St. Matthew's Direct Care Service

  • Home Health Agency
  • Shreveport, LA
  • NPI 1578729208
  NPD tax ID
• St. Matthew's Direct Care Service

  • Home Health Agency
  • Shreveport, LA
  • NPI 1679733836
  NPD tax ID

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1417113267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD STE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043351",
            "telephone_number": "318-213-2273",
            "fax_number": "318-213-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD",
            "address_2": "BLDG 1 SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043356",
            "telephone_number": "318-213-2273",
            "fax_number": "318-213-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MATTHEW'S DIRECT CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "318-213-2273"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": "20081",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20081",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• St. Matthew's Direct Care Service
• St. Matthew's Direct Care Service
• St. Matthew's Direct Care Service
• William Staab
• Thomas E Staats, PHD
• Lori A Stackow, PAC

• Exclusive Provider Organization in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Exclusive Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.