Organization Active NPI

Henderson Construction Services, Inc.

  • Home Modifications Contractor
  • Shreveport, LA
National Provider Identifier
1780902353
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
171WH0202X Issued in LA
Legal business name
HENDERSON CONSTRUCTION SERVICES, INC.
Practice address
208 W 70TH St
Shreveport, LA 71106-3716
Phone
(318) 861-0512
Fax
(318) 861-0513
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Mrs. Madeline Marie Henderson, GENERAL CONTRACTOR
Title
President
Phone
(318) 861-0512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X 171WH0202X LA Primary

Addresses

Primary practice location

208 W 70TH St
Shreveport, LA 71106-3716

Mailing address

208 W 70TH St
Shreveport, LA 71106-3716
Phone (318) 861-0512

National Provider Directory

National Provider Directory

Locations

208 W 70th St
Shreveport, LA 71106
Phone (318) 861-0512

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1780902353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063716",
            "telephone_number": "318-861-0512",
            "fax_number": "318-861-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063716",
            "telephone_number": "318-861-0512",
            "fax_number": "318-861-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CONSTRUCTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-861-0512",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "GENERAL CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "LA",
            "license": "171WH0202X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2010; 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.