SENIOR MANAGEMENT SERVICES OF SHREVEPORT LLC (NPI# 1043209372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043209372 |
| Entity Type | Organization |
| Organization Name | SENIOR MANAGEMENT SERVICES OF SHREVEPORT LLC |
| Other Organization Name | NURSECARE NURSING & REHABILITATION CENTER |
| Practice Address |
1736 Irving Pl Shreveport LA 71101-4606 |
| Mailing Address |
800 W Arbrook Blvd Ste 210 Arlington TX 76015-4327 |
| Practice Telephone | 3182211983 |
| Practice Fax Number | 3182222095 |
| Mailing Telephone | 8174681991 |
| Mailing Fax Number | 8174683133 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TROY CLANTON (PRESIDENT) |
| Authorized Official Telephone | 8174681991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1522104 | 05 |
| Other Name | Type Code |
|---|---|
| NurseCare Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1736 IRVING PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274049 | Cody Brondon Culbreath | Speech-Language Pathologist | 1736 Irving Pl, Shreveport, LA 71101-4606 | 2020-04-23 |
| 1912062043 | Irving Place Associates, L.p. | Skilled Nursing Facility | 1736 Irving Pl, Shreveport, LA 71101-4606 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873770 | Booker Scc LLC | Skilled Nursing Facility | 7605 Line Ave, Shreveport, LA 71106-5162 | 2015-06-16 |
| 1073648853 | Booker T. Washington Guest Care Center, LLC | Skilled Nursing Facility | 7605 Line Ave., Shreveport, LA 71106-5162 | 2007-02-22 |
| 1275614497 | The Glen Retirement System | Skilled Nursing Facility | 1524 Glen Oak Pl, Shreveport, LA 71103-3816 | 2006-10-17 |
| 1417999780 | Shreveport Manor, LLC | Skilled Nursing Facility | 3302 Mansfield Rd, Shreveport, LA 71103-4106 | 2006-06-12 |
| 1609818046 | The Guest Care At Spring Lake, LLC | Skilled Nursing Facility | 8622 Line Ave, Shreveport, LA 71106-6108 | 2006-06-11 |
| 1073555652 | The Guest House LLC | Skilled Nursing Facility | 9225 Normandie Dr, Shreveport, LA 71118-3249 | 2006-06-11 |
| 1235179086 | Bradford Guest Care, LLC | Skilled Nursing Facility | 3050 Baird Rd, Shreveport, LA 71118-3818 | 2006-06-08 |
| 1619917432 | Multi-faith Retirement Services | Skilled Nursing Facility | 600 E Flournoy Lucas Rd, Shreveport, LA 71115-3855 | 2006-06-08 |
| 1508805037 | Heritage Manor Stratmore Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 530 Stratmore Dr, Shreveport, LA 71115-3020 | 2006-06-06 |
| 1144267451 | Willis Knighton Medical Center, Inc. | Skilled Nursing Facility | 2550 Kings Hwy, Shreveport, LA 71103-3922 | 2006-06-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.