Active NPI
MLD and Associates
- Personal Care Attendant
- Shreveport, LA
National Provider Identifier
1619169075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- MLD AND ASSOCIATES
- Practice address
- 8101 Kingston Rd
Suite 102a
Shreveport, LA 71108-5745 - Phone
- (318) 671-1086
- Fax
- (318) 227-8510
- NPI assigned
- Aug 9, 2007
- Last updated
- Aug 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myrtis Lajuan Edwards
- Title
- Chief Executive Officer
- Phone
- (318) 671-1086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | Primary |
Addresses
Primary practice location
8101 Kingston Rd
Suite 102a
Shreveport, LA 71108-5745
Mailing address
8101 Kingston Rd
Suite 102a
Shreveport, LA 71108-5745
Phone (318) 671-1086
National Provider Directory
National Provider DirectoryLocations
8101 Kingston Rd
Ste 102A
Shreveport, LA 71108
Phone (318) 671-1086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1619169075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 KINGSTON RD",
"address_2": "SUITE 102A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711085745",
"telephone_number": "318-671-1086",
"fax_number": "318-227-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 KINGSTON RD",
"address_2": "SUITE 102A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711085745",
"telephone_number": "318-671-1086",
"fax_number": "318-227-8510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MLD AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "MYRTIS",
"authorized_official_middle_name": "LAJUAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "318-671-1086"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"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 Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.