Organization · NPI-2
An Endless Love Home Care, LLC
Point of Service · Shreveport, LA
NPI number1083743041
StatusActive
Last updated in NPPESSep 21, 2023
Details
- NPI
- 1083743041
- Entity type
- Organization (NPI-2)
- Legal business name
- An Endless Love Home Care, LLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2007
- Certification date
- Sep 21, 2023
- Last updated
- Sep 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | 11761 | LA | Yes |
| 251E00000X | Home Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Other names
- Northwest La Incs, LLC (Former Legal Business Name)
Practice location
6003 Financial PlzShreveport, LA 71129-2670
Phone 318-636-0390 · Fax 318-635-3298
Mailing address
6259 Tinker StreetShreveport, LA 71109
Phone 318-636-0390 · Fax 318-635-3298
Authorized official
Eunice Wilkerson
Director
3186360390
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