South Regional Personal Care Service, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2203783544 Issued in LA

Legal business name

SOUTH REGIONAL PERSONAL CARE SERVICE, LLC

Practice address

10319 Old Hammond Hwy
Baton Rouge, LA 70816-8288

Phone

(225) 367-1646

Fax

(225) 456-5094

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Shannah Earley

Title

Owner

Phone

(225) 367-1646

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

South Regional Personal Care Service 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.

• South Regional Personal Care Service, LLC

  • Home Health Agency
  • Baton Rouge, LA
  • NPI 1326558867
  NPD tax ID
• South Regional Personal Care Service, LLC

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
  • NPI 1366955809
  NPD tax ID

Locations

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1811400435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168288",
            "telephone_number": "225-367-1646",
            "fax_number": "225-456-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168288",
            "telephone_number": "225-367-1646",
            "fax_number": "225-456-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH REGIONAL PERSONAL CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "SHANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-367-1646"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203783544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203783544",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Souphanthalop
• Kelly Sourbrine
• South Louisiana Hospice, LLC
• South Regional Personal Care Service, LLC
• South Regional Personal Care Service, LLC
• Southeast Community Health Systems
• Southeast Community Health Systems
• Southeast Louisiana Veterans Health Care System
• Southeast Spine Center, LLC
• Southeastern Cardiology Consultants

• Community Based Hospice Care Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.