Light of Life Health Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIGHT OF LIFE HEALTH AGENCY LLC

Practice address

9730 Baird Rd Apt 822
Shreveport, LA 71118-3821

Phone

(318) 349-0778

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Rayuna D Smith

Title

HR Representative

Phone

(318) 658-0362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1548933948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 BAIRD RD APT 822",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183821",
            "telephone_number": "318-349-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 BAIRD RD APT 822",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183821",
            "telephone_number": "318-349-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF LIFE HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RAYUNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HR REPRESENTATIVE",
        "authorized_official_telephone_number": "318-658-0362"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.