Residual Care LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RESIDUAL CARE LLC

Practice address

8575 Fern Ave Ste 108
Shreveport, LA 71105-5677

Phone

(318) 459-7702

NPI assigned

Feb 16, 2023

Organization subpart

No

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

Authorized official

Name

Veronica BlazeNPI 1972953461

Title

Owner

Phone

(318) 459-7702

Specialties & licenses 1

Addresses

Tax ID family

Residual Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Residual Care, LLC.

  • Marriage & Family Therapist
  • Shreveport, LA
  • NPI 1932786563
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Blaze, MS

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1972953461
  NPD Authorized official
• Carole Johnson Alexander

  • Mental Health Counselor
  • Shreveport, LA
  • NPI 1902665078
  NPD
• Britney Page

  • Marriage & Family Therapist
  • Shreveport, LA
  • NPI 1538649173
  NPD (past)

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1710685128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 KINGS TOWNE PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711086034",
            "telephone_number": "318-399-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 FERN AVE STE 108",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055677",
            "telephone_number": "318-459-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDUAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "BLAZE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-459-7702"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Renda, M.D.
• Renew Therapeutic Services, LLC
• Kimberly Renfro, AU.D.
• David Rengifo, MD
• Linda Hood Resendez, LOTR
• Residual Care, LLC.
• Resilience Concierge Physical Therapy
• Resilient House, LLC
• Resilient Minds Behavioral Health Services LLC
• Jack S Resneck, MD

• Marriage & Family Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Marriage & Family Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.