EASTERSEALS (NPI# 1962937623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962937623 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS |
| Other Organization Name | EASTERSEALS |
| Practice Address |
5411 Fairfax Ave Shreveport LA 71108-3342 |
| Practice Telephone | 3188207219 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MS. TRELISA S BRIDGEWATER (PSR) |
| Authorized Official Telephone | 3188207219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Easterseals | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063951093 | Easterseals | Counselor | 3007 Knight St Ste 200, Shreveport, LA 71105-2525 | 2017-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERSEALS ALASKA | 670 W Fireweed Ln Ste 201, Anchorage, AK 99503-2561 |
| System for Award Management (SAM) Entities | EASTERSEALS EMPLOYMENT NETWORK: EMPLOYER | 1420 Spring St, Silver Spring, MD 20910-2701 |
| System for Award Management (SAM) Entities | EASTERSEALS EMPLOYMENT NETWORK: TRADITIONAL | 1420 Spring St, Silver Spring, MD 20910-2701 |
| System for Award Management (SAM) Entities | EASTERSEALS MICHIGAN | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 |
| System for Award Management (SAM) Entities | EASTERSEALS NORTHEAST CENTRAL FLORIDA | 1219 Dunn Avenue, Daytona Beach, FL 32114-2405 |
| Street Address |
5411 FAIRFAX AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71108-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551140 | Berkelia Player | Case Manager/Care Coordinator | 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 | 2018-06-08 |
| 1548757305 | Kenya Cawthorne | Counselor | 1520 Oakdale St, Shreveport, LA 71108 | 2018-04-17 |
| 1083112890 | Chantanell Johns | Case Manager/Care Coordinator | 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 | 2018-01-26 |
| 1912425935 | Mildred Rivers | Case Manager/Care Coordinator | 4718 Hearne Ave, Shreveport, LA 71108 | 2017-08-30 |
| 1790205326 | Britney Ashton | Case Manager/Care Coordinator | 1910 Hickory St, Shreveport, LA 71108 | 2017-06-24 |
| 1548792674 | La'travia Jackson | Case Manager/Care Coordinator | 3430 Fernwood Ln, Shreveport, LA 71108 | 2017-03-29 |
| 1962941476 | Johnetta Marshall | Counselor | 6901 Despot Rd, Shreveport, LA 71108 | 2017-02-16 |
| 1295283992 | Shaun Cooper | Case Manager/Care Coordinator | 8824 Ruth Ave, Shreveport, LA 71108 | 2016-09-12 |
| 1508313735 | Tara Black | Counselor | 7019 Louise St, Shreveport, LA 71108 | 2016-09-06 |
| 1659828960 | Maranda Bolden | Counselor | 4906 Merlin Circle, Apt 4906, Shreveport, LA 71108 | 2016-09-02 |
| Find all providers in zip 71108 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722774 | Sdx Home Care Operations, LLC | In Home Supportive Care | 6039 Five Oaks Dr Ste A, Shreveport, LA 71129-2537 | 2020-05-27 |
| 1376187310 | Abundant Life Health Care Services, LLC | In Home Supportive Care | 2625 Line Ave Ste 106, Shreveport, LA 71104-3043 | 2019-11-02 |
| 1144785486 | Elite Concierge Care, LLC | In Home Supportive Care | 9051 Mansfield Rd Ste C3, Shreveport, LA 71118-2682 | 2019-01-31 |
| 1316401177 | Joice Ann Lister | In Home Supportive Care | 1934 Jackie Robinson Dr, Shreveport, LA 71107-6115 | 2019-01-25 |
| 1861982951 | C&c Sitting Agency LLC | In Home Supportive Care | 575 Williams Rd, Shreveport, LA 71106-8277 | 2018-05-14 |
| 1831694850 | Comfort Care Services LLC | In Home Supportive Care | 5860 S Lakeshore Dr Apt 21, Shreveport, LA 71119-3818 | 2018-03-30 |
| 1750895926 | Jacqueline Lynn Jackson | In Home Supportive Care | 1842 Murphy St, Shreveport, LA 71103-2919 | 2017-11-27 |
| 1538697693 | Youth and Family Services LLC | In Home Supportive Care | 106 E Kings Hwy Ste 101, Shreveport, LA 71104-3401 | 2017-06-01 |
| 1306296330 | Makayla Dooley | In Home Supportive Care | 3918 Crosby St, Shreveport, LA 71109-7902 | 2016-06-21 |
| 1861866675 | Care Services of Northwest Louisiana, LLC. | In Home Supportive Care | 9310 Normandie Drive, Shreveport, LA 71118 | 2015-11-17 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71108 |
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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.