NPIMap

Organization Active NPI

God'S Gift Professional Care Service

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1548480239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA 10503 Issued in LA
Legal business name
GOD'S GIFT PROFESSIONAL CARE SERVICE
Practice address
2620 Centenary Blvd
BLDG 1 Suite 104
Shreveport, LA 71104-3356
Phone
(318) 629-5391
Fax
(318) 629-5392
NPI assigned
Apr 26, 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
Mrs. Schawanda A Coleman
Title
Executive Director
Phone
(318) 629-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA 10503 LA Primary

Addresses

Primary practice location

2620 Centenary Blvd
BLDG 1 Suite 104
Shreveport, LA 71104-3356

Mailing address

2620 Centenary Blvd
BLDG 1 Suite 104
Shreveport, LA 71104-3356
Phone (318) 629-5391

Other identifiers 1

IdentifierTypeStateIssuer
1466859MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
God'S Gift Professional Care Service4 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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548480239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD",
            "address_2": "BLDG 1 SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043356",
            "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": "2620 CENTENARY BLVD",
            "address_2": "BLDG 1 SUITE 104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043356",
            "telephone_number": "318-629-5391",
            "fax_number": "318-629-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOD'S GIFT PROFESSIONAL CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SCHAWANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-629-5391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 10503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466859",
            "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.