NPIMap

Organization Active NPI

Personal Care Services 2000, LLC

  • Custodial Care Facility
  • Lake Charles, LA
National Provider Identifier
1487830568
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
PCA 11776 Issued in LA
Legal business name
PERSONAL CARE SERVICES 2000, LLC
Practice address
1835 Oak Park Blvd Ste 102
Lake Charles, LA 70601-8999
Phone
(337) 430-0245
Fax
(337) 990-0068
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Mrs. Dawn Patricia Reed
Title
Coo
Phone
(337) 562-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X PCA 11776 LA Primary

Addresses

Primary practice location

1835 Oak Park Blvd Ste 102
Lake Charles, LA 70601-8999

Mailing address

1901 Oak Park Blvd
Lake Charles, LA 70601-8915
Phone (337) 562-1140

Other identifiers 1

IdentifierTypeStateIssuer
1462705MedicaidLA

Other names 1

  • Personal Care Services 2000 LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Home Health Agency Inc4 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.

Locations

2013 Oak Park Blvd
Ste 101
Lake Charles, LA 70601

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1487830568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018915",
            "telephone_number": "337-562-1140",
            "fax_number": "337-562-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 OAK PARK BLVD STE 102",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018999",
            "telephone_number": "337-430-0245",
            "fax_number": "337-990-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE SERVICES 2000, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "337-562-1140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "PCA 11776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462705",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Care Services 2000 LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personal Care Services 2000 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.