NPIMap

Organization Active NPI

Body & Soul Services Inc

  • In Home Supportive Care Agency
  • Bastrop, LA
National Provider Identifier
1902065774
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BODY & SOUL SERVICES INC
Practice address
5743 Mer Rouge Rd
Bastrop, LA 71220-9765
Phone
(318) 283-3299
Fax
(318) 283-3298
NPI assigned
Jun 5, 2008
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Derenda Flowers
Title
Vice-President
Phone
(318) 376-1113

Specialties & licenses 1

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

Addresses

Primary practice location

5743 Mer Rouge Rd
Bastrop, LA 71220-9765

Mailing address

5743 Mer Rouge Rd
Bastrop, LA 71220-9765
Phone (318) 283-3299

Other practice location 1

803 Brisco Ave
Bastrop, LA 71220-5161
Phone (318) 974-6035

Other identifiers 3

IdentifierTypeStateIssuer
1004391MedicaidLA
1004375MedicaidLA
1004405MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Body Soul Servicesinc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1902065774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 MER ROUGE RD",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209765",
            "telephone_number": "318-283-3299",
            "fax_number": "318-283-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 MER ROUGE RD",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712209765",
            "telephone_number": "318-283-3299",
            "fax_number": "318-283-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Brisco Ave",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712205161",
            "country_code": "US",
            "telephone_number": "318-974-6035",
            "fax_number": "318-515-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODY & SOUL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "DERENDA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "318-376-1113"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004391",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004375",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004405",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.