Active NPI
Schawanda Allen Coleman
- Personal Care Attendant
- Shreveport, LA
National Provider Identifier
1497081772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- ADHC 5051
- Practice address
- 2753 Greenwood Rd
Shreveport, LA 71109-4657 - Phone
- (318) 629-5391
- Fax
- (318) 629-5392
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | ADHC 5051 | LA | Primary |
Addresses
Primary practice location
2753 Greenwood Rd
Shreveport, LA 71109-4657
Mailing address
2753 Greenwood Rd
Shreveport, LA 71109-4657
Phone (318) 629-5391
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADHC 5051 | LA | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Care Home Health Services | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1659916419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1497081772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2753 GREENWOOD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711094657",
"telephone_number": "318-629-5391",
"fax_number": "318-629-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2753 GREENWOOD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711094657",
"telephone_number": "318-629-5391",
"fax_number": "318-629-5392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "SCHAWANDA",
"middle_name": "ALLEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "LA",
"license": "ADHC 5051",
"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 Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.