Innovative Senior Solutions, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INNOVATIVE SENIOR SOLUTIONS, LLC

Doing business as

Preferred Care at Home of Northwest Louisiana

Practice address

8321 Line Ave Ste 200
Shreveport, LA 71106-5923

Phone

(318) 861-4632

Fax

(318) 861-0851

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert D Smith

Title

Member

Phone

(318) 861-4632

Specialties & licenses 1

Addresses

Other names 1

• Preferred Care at Home of Northwest Louisiana Doing business as

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1750968566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 LINE AVE STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065923",
            "telephone_number": "318-861-4632",
            "fax_number": "318-861-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 LINE AVE STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065923",
            "telephone_number": "318-861-4632",
            "fax_number": "318-861-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-861-4632"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Care at Home of Northwest Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.