NPIMap

Organization Active NPI

Two Wings Community Health Services LLC

  • In Home Supportive Care Agency
  • Amite, LA
National Provider Identifier
1508430596
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TWO WINGS COMMUNITY HEALTH SERVICES LLC
Practice address
1101 W Oak St
Amite, LA 70422-2751
Phone
(985) 517-2396
Fax
(985) 247-2173
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Janice M Holland
Title
Ceo
Phone
(985) 517-2396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1101 W Oak St
Amite, LA 70422-2751

Mailing address

16070 Highway 40 E
Independence, LA 70443-2550
Phone (985) 606-2522

Other identifiers 1

IdentifierTypeStateIssuer
2518666MedicaidLA

Other names 1

  • Two wings community health services LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Two Wings Community Health Services LLC3 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

1101 W Oak St
Amite, LA 70422
Phone (985) 517-2396

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1508430596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16070 HIGHWAY 40 E",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432550",
            "telephone_number": "985-606-2522",
            "fax_number": "985-606-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W OAK ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222751",
            "telephone_number": "985-517-2396",
            "fax_number": "985-247-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO WINGS COMMUNITY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-517-2396"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2518666",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two wings community health services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Two wings community health services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.