Organization Active NPI

D & K Care Service

  • Speech-Language Pathologist
  • Shreveport, LA
National Provider Identifier
1437202702
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
D & K CARE SERVICE
Practice address
3200 Hollywood Ave
Shreveport, LA 71108
Phone
(318) 631-0805
Fax
(318) 631-1192
NPI assigned
Jan 19, 2007
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Leroy Ealy
Title
Administrator
Phone
(318) 631-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3200 Hollywood Ave
Shreveport, LA 71108

Mailing address

4185 Deer Creek Drive
Shreveport, LA 71119-7513
Phone (318) 631-5258

National Provider Directory

National Provider Directory
Tax ID family
D K Care Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3200 Hollywood Ave
Shreveport, LA 71108
Phone (318) 631-0805

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1437202702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 DEER CREEK DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197513",
            "telephone_number": "318-631-5258",
            "fax_number": "318-631-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HOLLYWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71108",
            "telephone_number": "318-631-0805",
            "fax_number": "318-631-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & K CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "EALY",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-631-0805"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "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 May 17, 2023; 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.