NPIMap

Organization Active NPI

Exceptional Client Care Services II L.L.C

  • Home Health Agency
  • Ruston, LA
National Provider Identifier
1629105010
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA 6660 Issued in LA
Legal business name
EXCEPTIONAL CLIENT CARE SERVICES II L.L.C
Practice address
919 N Trenton St Ste 101
Ruston, LA 71270-3374
Phone
(318) 242-0041
Fax
(318) 513-1016
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mr. Charles Ray Johnson
Title
Owner
Phone
(318) 286-5935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SIL 6677 LA
Home Health Agency 251E00000X PCA 6660 LA Primary

Addresses

Primary practice location

919 N Trenton St Ste 101
Ruston, LA 71270-3374

Mailing address

919 N Trenton St Ste 101
Ruston, LA 71270-3374
Phone (318) 242-0041

Other identifiers 3

IdentifierTypeStateIssuer
1450260MedicaidLA
1706299MedicaidLA
1334294MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Exceptional Client Care Services II4 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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1629105010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N TRENTON ST STE 101",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703374",
            "telephone_number": "318-242-0041",
            "fax_number": "318-513-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N TRENTON ST STE 101",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703374",
            "telephone_number": "318-242-0041",
            "fax_number": "318-513-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL CLIENT CARE SERVICES II L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-286-5935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "SIL 6677",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 6660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450260",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706299",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1334294",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.