NPIMap

Organization Active NPI

Johnsons Client Care Services, LLC

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1548395098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11791 AND 11792 Issued in LA
Legal business name
JOHNSONS CLIENT CARE SERVICES, LLC
Practice address
4038 Marion PL
Shreveport, LA 71109-5012
Phone
(318) 631-7714
Fax
(318) 636-7614
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Direct Owner Chief Executive Offi Director, M
Title
Director
Phone
(318) 631-7714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11791 AND 11792 LA Primary

Addresses

Primary practice location

4038 Marion PL
Shreveport, LA 71109-5012

Mailing address

4038 Marion PL
Shreveport, LA 71109-5012
Phone (318) 631-7714

Other identifiers 3

IdentifierTypeStateIssuer
1624756MedicaidLA
1624519MedicaidLA
1624551MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Johnsons Client Care 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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548395098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 MARION PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711095012",
            "telephone_number": "318-631-7714",
            "fax_number": "318-636-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 MARION PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711095012",
            "telephone_number": "318-631-7714",
            "fax_number": "318-636-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONS CLIENT CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIRECTOR",
        "authorized_official_first_name": "DIRECT OWNER",
        "authorized_official_middle_name": "CHIEF EXECUTIVE OFFI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-631-7714",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "11791 AND 11792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624756",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624519",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624551",
            "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 Aug 22, 2020; 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.