<Unavail>

LBN: Shreveport Scc Llc
<Unavail> is an health care organization with primary practice located at 3302 Mansfield Rd , Shreveport LA 71103-4106. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Shreveport Scc Llc can be contacted via phone (318) 222-9482, or through Beal, Michael via phone (214) 252-7600.

Contact Information

Primary practice address
3302 Mansfield Rd Shreveport LA 71103-4106
Phone: (318) 222-9482
Fax: (318) 424-9985
Website:
Map and Directions
Authorized official contact:
Name: Beal, Michael
Phone: (214) 252-7600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1609257450
LBN Legal business name Shreveport Scc Llc
DBA Doing business as <Unavail>
Authorized official Beal, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2015
Last updated Mar 4th, 2020 - about 6 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 1609257450 NPPES
Louisiana MEDICAID 1517569
Louisiana Other 19-5515

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