Active NPI
Residual Care, LLC.
- Marriage & Family Therapist
- Shreveport, LA
National Provider Identifier
1932786563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Veronica Blaze, MS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Marriage & Family Therapist
- Shreveport, LA
- NPI 1710685128
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.