Organization Active NPI

Premier Care and Learning Center, Inc

  • Clinic/Center
  • Shreveport, LA
National Provider Identifier
1679594782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMIER CARE AND LEARNING CENTER, INC
Practice address
2110 Hollywood Ave
Shreveport, LA 71108-3922
Phone
(318) 635-5900
Fax
(318) 635-5601
NPI assigned
Jul 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Florine Kessee-Doyle, RN
Title
Director
Phone
(318) 635-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2110 Hollywood Ave
Shreveport, LA 71108-3922

Mailing address

2110 Hollywood Ave
Shreveport, LA 71108-3922
Phone (318) 635-5900

Other identifiers 1

IdentifierTypeStateIssuer
1443760MedicaidLA

Other names 1

  • Premier Care Clinic Other name

National Provider Directory

National Provider Directory

Locations

2110 Hollywood Ave
Shreveport, LA 71108
Phone (318) 635-5900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679594782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HOLLYWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083922",
            "telephone_number": "318-635-5900",
            "fax_number": "318-635-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HOLLYWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083922",
            "telephone_number": "318-635-5900",
            "fax_number": "318-635-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE AND LEARNING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESSEE-DOYLE",
        "authorized_official_first_name": "FLORINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-635-5900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443760",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Care Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2020; 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.