NPIMap

Organization Active NPI

Exceptional Client Care Services L.L.C

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1972630341
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11051 Issued in LA
Legal business name
EXCEPTIONAL CLIENT CARE SERVICES L.L.C
Practice address
6007 Financial PLZ Ste 5B
Shreveport, LA 71129-2675
Phone
(318) 688-2118
Fax
(318) 688-2013
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mr. Charles Ray Johnson
Title
Owner
Phone
(318) 286-5935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11051 LA Primary
Home Health Agency 251E00000X 11052 LA

Addresses

Primary practice location

6007 Financial PLZ Ste 5B
Shreveport, LA 71129-2675

Mailing address

6007 Financial PLZ Ste 5B
Shreveport, LA 71129-2675
Phone (318) 688-2118

Other identifiers 4

IdentifierTypeStateIssuer
1471411MedicaidLA
1790494MedicaidLA
1468061MedicaidLA
1470341MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Exceptional Client Care Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1972630341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 FINANCIAL PLZ STE 5B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292675",
            "telephone_number": "318-688-2118",
            "fax_number": "318-688-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 FINANCIAL PLZ STE 5B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292675",
            "telephone_number": "318-688-2118",
            "fax_number": "318-688-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL CLIENT CARE SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-286-5935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "11051",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "11052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471411",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790494",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468061",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470341",
            "state": "LA"
        }
    ],
    "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 Aug 6, 2007; 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.