AN ENDLESS LOVE HOME CARE, LLC (NPI# 1083743041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083743041 |
Entity Type | Organization |
Organization Name | AN ENDLESS LOVE HOME CARE, LLC |
Other Organization Name | NORTHWEST LA INCS, LLC |
Practice Address |
6259 Tinker Street Shreveport LA 71109 |
Practice Telephone | 3186360390 |
Practice Fax Number | 3186353298 |
Mailing Telephone | 3186360390 |
Mailing Fax Number | 3186353298 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-10-13 |
Authorized Official Name | MS. EUNICE WILKERSON (DIRECTOR) |
Authorized Official Telephone | 3186360390 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 11761 | LA | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1172260 | 05 |
Other Name | Type Code |
---|---|
Northwest LA INCS, LLC | Former Legal Business Name - Organization |
Street Address |
6259 TINKER STREET |
City | SHREVEPORT |
State | LA |
Zip Code | 71109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
1316982499 | Shreveport Oxygen & Rental, LLC | Durable Medical Equipment & Medical Supplies | 5150 Interstate Dr., Ste. 216, Shreveport, LA 71109 | 2006-06-20 |
Find all providers in zip 71109 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "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. 62 |
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1356466742 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-21 |
1023133808 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-20 |
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Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71109 |
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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.