Caddo Council on Aging, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CADDO COUNCIL ON AGING, INC.

Practice address

1700 Buckner St
Suite 240
Shreveport, LA 71101-4452

Phone

(318) 676-7900

Fax

(318) 676-7911

NPI assigned

Oct 10, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Alice Rountree

Title

Executive Director

Phone

(318) 676-7900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1659623957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BUCKNER ST",
            "address_2": "SUITE 240",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014452",
            "telephone_number": "318-676-7900",
            "fax_number": "318-676-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BUCKNER ST",
            "address_2": "SUITE 240",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014452",
            "telephone_number": "318-676-7900",
            "fax_number": "318-676-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADDO COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "ROUNTREE",
        "authorized_official_first_name": "MARY ALICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-676-7900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caddo Parish Fire District #5
• Caddo Parish School Board
• Caddo Parish School Board

• Home Health Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.