Organization Active NPI

Residual Care, LLC.

  • Marriage & Family Therapist
  • Shreveport, LA
National Provider Identifier
1932786563
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RESIDUAL CARE, LLC.
Practice address
679 Kings Towne PL
Shreveport, LA 71108-6034
Phone
(318) 399-2274
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Veronica Blaze, MSNPI 1972953461
Title
Owner
Phone
(318) 399-2274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

679 Kings Towne PL
Shreveport, LA 71108-6034

Mailing address

679 Kings Towne PL
Shreveport, LA 71108-6034
Phone (318) 399-2274

National Provider Directory

National Provider Directory
Tax ID family
Residual Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1932786563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 KINGS TOWNE PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711086034",
            "telephone_number": "318-399-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 KINGS TOWNE PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711086034",
            "telephone_number": "318-399-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDUAL CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "BLAZE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-399-2274",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 4, 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.