VA DIABETIC FOOT SOURCE LLC (NPI# 1003139619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003139619 |
| Entity Type | Organization |
| Organization Name | VA DIABETIC FOOT SOURCE LLC |
| Practice Address |
9414 Ashmont St Shreveport LA 71129-4830 |
| Practice Telephone | 3185602700 |
| Mailing Telephone | 3185602700 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | MR. VICTOR V MANNING (OWNER) |
| Authorized Official Telephone | 3185602700 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | RN121799 | LA | Agencies |
| Street Address |
9414 ASHMONT ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71129-4830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992953343 | Victor Veron Manning | Registered Nurse | 9414 Ashmont St, Shreveport, LA 71129-4830 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
| 1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
| 1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
| 1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
| 1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
| 1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
| 1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
| 1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
| Find all providers in zip 71129 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083916811 | K B Medication Therapy | Nursing Care | 2931 Salem Dr, Shreveport, LA 71118-2018 | 2010-11-30 |
| 1487989877 | Preferred Staffing, LLC | Nursing Care | 7505 Pines Rd Ste 1275, Shreveport, LA 71129-3935 | 2009-10-02 |
| 1679783864 | Maxim Healthcare Services, Inc. | Nursing Care | 6425 Youree Dr, Suite 440, Shreveport, LA 71105-4647 | 2007-05-23 |
| 1659696060 | Cst Medical Solutions, LLC | Nursing Care | 253 Atlantic Ave, Shreveport, LA 71105-3026 | 2010-03-30 |
| 1083886949 | Lighthouse Ministries Provider Care Service, Inc. | Nursing Care | 7505 Pines Rd, Suite # 1170, Shreveport, LA 71129-3935 | 2008-03-31 |
| 1437321395 | Lighthouse Ministries Provdier Care Service, Inc | Nursing Care | 7505 Pines Rd, Suite #1170, Shreveport, LA 71129-3935 | 2008-03-31 |
| 1346412202 | Lighthouse Ministries Provider Care Service, Inc. | Nursing Care | 7505 Pines Rd, Suite #1170, Shreveport, LA 71129-3935 | 2008-03-31 |
| 1770762932 | Assunce Care Services | Nursing Care | 7505 Pines Rd, Suite 1104, Shreveport, LA 71129-3935 | 2007-10-24 |
| 1831399856 | Lighthouse Ministries Provider Care Service Inc. | Nursing Care | 7505 Pines Rd, Suite #1170, Shreveport, LA 71129-3935 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040661 | Angel Hands Healthcare LLC | Nursing Care | 401 Lynn St Ste A, Vidalia, LA 71373-3806 | 2020-07-21 |
| 1912522962 | Blened Roots Wellness and Consulting | Nursing Care | 469 Autumn Haven Cir, Lacombe, LA 70445-6259 | 2020-06-15 |
| 1255807541 | Carla Pruett | Nursing Care | 6140 Panama Rd, Sorrento, LA 70778-3601 | 2018-10-15 |
| 1023594843 | Pierre Care Services, LLC | Nursing Care | 4875 S Sherwood Forest Blvd Ste A31, Baton Rouge, LA 70816-4640 | 2018-07-15 |
| 1245732536 | Exceptional Med-help, LLC | Nursing Care | 2311 Legion St, Lake Charles, LA 70601-6676 | 2018-03-02 |
| 1134648900 | Word of Hope | Nursing Care | 3975 East Prien Lake Rd, Lake Charles, LA 70615 | 2017-09-13 |
| 1881115376 | Gifted Nurses, LLC | Nursing Care | 2748 Metairie Lawn Dr, Metairie, LA 70002-6182 | 2017-07-05 |
| 1922537018 | Kyefe Tameka Marshall | Nursing Care | 3340 Severn Ave Ste 320, Metairie, LA 70002-7410 | 2017-06-12 |
| 1083088991 | Lake Area Medical Services, LLC | Nursing Care | 2420 Country Clud Rd, Lake Charles, LA 70605 | 2015-11-17 |
| 1427441633 | Elroy Miller | Nursing Care | 407 Boulder Creek Pkwy, Lafayette, LA 70508-1718 | 2015-03-12 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.