NPIMap

Organization Active NPI

Care Services of Northwest Louisiana, LLC.

  • In Home Supportive Care Agency
  • Shreveport, LA
National Provider Identifier
1861866675
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2203782182 Issued in LA
Legal business name
CARE SERVICES OF NORTHWEST LOUISIANA, LLC.
Practice address
9310 Normandie Drive
Shreveport, LA 71118
Phone
(318) 742-8380
Fax
(318) 741-3645
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mr. Cynthia Watson
Title
Owner/Administrator
Phone
(318) 742-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2203782182 LA Primary

Addresses

Primary practice location

9310 Normandie Drive
Shreveport, LA 71118

Mailing address

9310 Normandie Drive
Shreveport, LA 71118
Phone (318) 426-0203

Other identifiers 1

IdentifierTypeStateIssuer
1337765MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Care Services of NW Louisiana LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

9310 Normandie Dr
Shreveport, LA 71118
Phone (318) 742-8380

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1861866675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 NORMANDIE DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-426-0203",
            "fax_number": "318-741-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 NORMANDIE DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-742-8380",
            "fax_number": "318-741-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SERVICES OF NORTHWEST LOUISIANA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "318-742-8380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "2203782182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337765",
            "state": "LA"
        }
    ],
    "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 Nov 17, 2015; 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.