Hollywood Health Service
Clinic/Center, Mental Health (Including Community Mental Health Center) in Shreveport, LA. Organization (NPI-2).
NPI number1912428335
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1912428335
- Entity type
- Organization (NPI-2)
- Legal business name
- Hollywood Health Service
- Organization subpart
- No
- Enumeration date
- Jul 6, 2017
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 347C00000X | Private Vehicle | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 332BD1200X | Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | – | – | |
| 332U00000X | Home Delivered Meals | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – |
Other names
- Hhs Medical Transportation (Other Name)
Practice location
2835 Hollywood AveShreveport, LA 71108-3864
Phone 318-402-9069 · Fax 318-861-5069
Mailing address
2835 Hollywood AveShreveport, LA 71108-3864
Phone 318-402-9069 · Fax 318-861-5069
Authorized official
Timothy Rene Thomas
Operational Director
3184029069
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