A Moment in Time Patient Care Services. LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

10616713#3CF52 Issued in LA

Legal business name

A MOMENT IN TIME PATIENT CARE SERVICES. LLC

Practice address

3085 Keithville Kingston Rd
Keithville, LA 71047-8360

Phone

(318) 773-8643

Fax

(318) 925-3373

NPI assigned

Jul 13, 2015

Last updated

Sep 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Miller, RT (MR) ARRT

Title

Owner

Phone

(318) 773-8643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1902280506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 MANSFIELD RD",
            "address_2": "SUITE 3B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183859",
            "telephone_number": "318-773-8643",
            "fax_number": "318-925-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 KEITHVILLE KINGSTON RD",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710478360",
            "telephone_number": "318-773-8643",
            "fax_number": "318-925-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MOMENT IN TIME PATIENT CARE SERVICES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-773-8643",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT (MR) ARRT"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "10616713#3CF52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra K Baker
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• Adult Care Home Facility in Keithville, LA
• Providers in Keithville, LA by specialty
• Adult Care Home Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.