NPIMap

Organization Active NPI

Easterseals

  • In Home Supportive Care Agency
  • Shreveport, LA
National Provider Identifier
1962937623
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EASTERSEALS
Practice address
5411 Fairfax Ave
Shreveport, LA 71108-3342
Phone
(318) 820-7219
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Ms. Trelisa S Bridgewater
Title
PSR
Phone
(318) 820-7219

Specialties & licenses 1

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

Addresses

Primary practice location

5411 Fairfax Ave
Shreveport, LA 71108-3342

Mailing address

5411 Fairfax Ave
Shreveport, LA 71108-3342

Other names 1

  • Easterseals Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1962937623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 FAIRFAX AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 FAIRFAX AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711083342",
            "telephone_number": "318-820-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERSEALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "TRELISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSR",
        "authorized_official_telephone_number": "318-820-7219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easterseals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 1, 2017; 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.