NPIMap

Organization Active NPI

Assurance Care Services

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1457535247
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1178969 Issued in LA
Legal business name
ASSURANCE CARE SERVICES
Practice address
4908 Monkhouse Dr
Shreveport, LA 71109-6114
Phone
(318) 631-7583
Fax
(318) 635-8514
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Mrs. Repunda M. Ball
Title
Administrator
Phone
(318) 631-7583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1178969 LA Primary

Addresses

Primary practice location

4908 Monkhouse Dr
Shreveport, LA 71109-6114

Mailing address

4908 Monkhouse Dr
Shreveport, LA 71109-6114
Phone (318) 631-7583

Other identifiers 1

IdentifierTypeStateIssuer
1178969MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Assurance Care Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4908 Monkhouse Dr
Shreveport, LA 71109
Phone (318) 631-7583

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1457535247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 MONKHOUSE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096114",
            "telephone_number": "318-631-7583",
            "fax_number": "318-631-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 MONKHOUSE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096114",
            "telephone_number": "318-631-7583",
            "fax_number": "318-635-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "REPUNDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-631-7583",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1178969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178969",
            "state": "LA"
        }
    ],
    "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 20, 2013; 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.