Afnb Home Care LLC
Organization Active NPI In Home Supportive Care Agency · Shreveport, LA
NPI 1790967941 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1790967941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- AFNB HOME CARE LLC
- Practice address
- 7591 Fern Ave Ste 1401
Shreveport, LA 71105-5747 - Phone
- (318) 682-8182
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
Authorized official
- Name
- John Fackrell
- Title
- Ceo
- Phone
- (337) 233-4779
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Afnb Home Care LLC
Locations
2533 Bert Kouns Industrial Loop
Ste 119
Shreveport, LA 71118
Phone (318) 682-8182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
7591 Fern Ave Ste 1401
Shreveport, LA 71105-5747
Mailing address
PO Box 60366
Lafayette, LA 70596-0366
Phone (337) 233-4778
Other names
- A First Name Basis Home Care
NPI Registry JSON
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1790967941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60366",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705960366",
"telephone_number": "337-233-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7591 FERN AVE STE 1401",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055747",
"telephone_number": "318-682-8182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFNB HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "FACKRELL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-233-4779"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A First Name Basis Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
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- Syeda Afzal
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All providers in Shreveport, LA · In Home Supportive Care Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.