Active NPI
Choice Providers, LLC
- Personal Care Attendant
- Alexandria, LA
National Provider Identifier
1629508486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 2203783331
- Legal business name
- CHOICE PROVIDERS, LLC
- Practice address
- 3600 Jackson St Ste 119
Alexandria, LA 71303-3096 - Phone
- (318) 484-7310
- Fax
- (318) 484-7374
- NPI assigned
- Jun 14, 2017
- 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
- Mr. Joseph William Basha Jr.
- Title
- Owner
- Phone
- (318) 623-0890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 2203783331 | LA | Primary |
Addresses
Primary practice location
3600 Jackson St Ste 119
Alexandria, LA 71303-3096
Mailing address
3600 Jackson St Ste 119
Alexandria, LA 71303-3096
Phone (318) 484-7310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802751 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Choice Providers LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Attendant Care Provider
- Alexandria, LA
- NPI 1124558630
-
- In Home Supportive Care Agency
- Alexandria, LA
- NPI 1538698584
Locations
3600 Jackson Street Ext
Ste 119
Alexandria, LA 71303
Phone (318) 625-7050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1629508486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 JACKSON ST STE 119",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033096",
"telephone_number": "318-484-7310",
"fax_number": "318-484-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 JACKSON ST STE 119",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033096",
"telephone_number": "318-484-7310",
"fax_number": "318-484-7374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE PROVIDERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BASHA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-623-0890",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "LA",
"license": "2203783331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1802751",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.