Organization Active NPI

Regional Pca Services - Southeast, LLC

  • In Home Supportive Care Agency
  • Hammond, LA
National Provider Identifier
1811228729
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15326 Issued in LA
Legal business name
REGIONAL PCA SERVICES - SOUTHEAST, LLC
Practice address
902 C M Fagan Dr
Suite a Shamock Plaza
Hammond, LA 70403-6043
Phone
(985) 747-1994
Fax
(985) 747-1965
NPI assigned
Jan 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Ms. Nancy Fisher
Title
Manager
Phone
(225) 928-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15326 LA Primary

Addresses

Primary practice location

902 C M Fagan Dr
Suite a Shamock Plaza
Hammond, LA 70403-6043

Mailing address

902 C M Fagan Dr
Suite a Shamock Plaza
Hammond, LA 70403-6043
Phone (985) 747-1994

National Provider Directory

National Provider Directory
Tax ID family
Regional Pca Services - Southeast LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

902 C M Fagan Dr
Ste A
Hammond, LA 70403
Phone (985) 340-2011

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1811228729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 C M FAGAN DR",
            "address_2": "SUITE A SHAMOCK PLAZA",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036043",
            "telephone_number": "985-747-1994",
            "fax_number": "985-747-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 C M FAGAN DR",
            "address_2": "SUITE A SHAMOCK PLAZA",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036043",
            "telephone_number": "985-747-1994",
            "fax_number": "985-747-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PCA SERVICES - SOUTHEAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-928-8989",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "15326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.