Seniors Club

LBN: Seniors Club
Seniors Club is an health care organization with primary practice located at 2653 Malcolm St , Shreveport LA 71108-2720. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Seniors Club can be contacted via phone (318) 635-0010, or through Mccoy, Karen R. via phone (318) 635-0010.

Contact Information

Primary practice address
2653 Malcolm St Shreveport LA 71108-2720
Phone: (318) 635-0010
Fax: (318) 635-8844
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Karen R. Registered Nurse (RN)
Phone: (318) 635-0010

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 1114600 Louisiana

Profile Details

NPI number 1417079526
LBN Legal business name Seniors Club
DBA Doing business as
Authorized official Mccoy, Karen R. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 23rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417079526 NPPES
Louisiana MEDICAID 1172596
Louisiana MEDICAID 1114600
Louisiana MEDICAID 1560880

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