Seniors Club in Shreveport - Custodial Care Facility
Seniors Club - NPI 1417079526
Seniors Club is a Custodial Care Facility in Shreveport, Louisiana. Seniors Club practices all healthcare services and medical treatments related to Custodial Care Facility. The NPI Number for Seniors Club is 1417079526. The last update date is 2008-06-23.
Seniors Club's current location address is 2653 Malcolm St, Shreveport, Louisiana. You can contact this provider via phone number 3186350010 and fax number 3186358844. The mailing address for Seniors Club is 2653 Malcolm St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seniors Club |
|---|---|
| Address | 2653 Malcolm St, Shreveport, Louisiana |
| Phone Number | 3186350010 |
| Fax Number | 3186358844 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mccoy R. Karen |
| Credentials | RN |
| Telephone Number | 3186350010 |
NPI Number Detail
| NPI Number | 1417079526 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 2653 Malcolm St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711082720 |
| Phone Number | 3186350010 |
| Fax Number | 3186358844 |
Provider's Primary Taxonomy Detail
| Speciality | Custodial Care Facility |
|---|---|
| Taxonomy | 311Z00000X |
| Licence No | 1114600 |
|
Definition: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1172596 | LA | -- | |
| 1114600 | LA | -- | |
| 1560880 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Seniors Club by the Centers for Medicare & Medicaid Services?
The Seniors Club has been assigned the NPI (National Provider Identifier) 1417079526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Seniors Club?
The Seniors Club is physically situated at 2653 Malcolm St, in the city of Shreveport, state of LA, with the postal code 711082720.
What is the Seniors Club's specialty and taxonomy code?
The Seniors Club's specialty is Custodial Care Facility, and the corresponding taxonomy code is 311Z00000X.
On what date did the Seniors Club receive the assignment of its 1417079526 from the Centers for Medicare & Medicaid Services?
The Seniors Club was issued its 1417079526 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the information regarding Seniors Club, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Seniors Club, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-23.
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