NORTHWEST LA INCS, LLC (NPI# 1700901683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700901683 |
| Entity Type | Organization |
| Organization Name | NORTHWEST LA INCS, LLC |
| Practice Address |
4111 Metro Dr Shreveport LA 71109-6001 |
| Practice Telephone | 3186360390 |
| Practice Fax Number | 3186353298 |
| Mailing Telephone | 3186360390 |
| Mailing Fax Number | 3186353298 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CINDY S PARKER (REGIONAL COORDINATOR) |
| Authorized Official Telephone | 3186360390 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 11761 | LA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1119407 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356466742 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-21 |
| 1023133808 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-20 |
| Street Address |
4111 METRO DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326573973 | An Endless Care Service | Clinic/Center | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2017-04-20 |
| 1356466742 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-21 |
| 1023133808 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770934689 | 1st Choice Drug & Testing Services | Point of Service | 1217 Gary St, Shreveport, LA 71101-4323 | 2016-06-22 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1437216710 | Powell Medical Center Minististries Inc | Point of Service | 515 Pierre Ave, Shreveport, LA 71101-2445 | 2007-01-03 |
| 1619353802 | Harris Memorial Pediatric & Family Clinic | Point of Service | 4571 N Market St, Shreveport, LA 71107-2917 | 2015-08-10 |
| 1356466742 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-21 |
| 1023133808 | Northwest La Incs, LLC | Point of Service | 4111 Metro Dr, Shreveport, LA 71109-6001 | 2007-03-20 |
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|---|---|---|---|---|
| 1932754249 | Hogan and Cali LLC | Point of Service | 81422 S Morgan Rd, Folsom, LA 70437-7058 | 2019-08-04 |
| 1558854257 | Raiyne's Caring Hearts, LLC | Point of Service | 2537 Jarrot Dr, Marrero, LA 70072-5349 | 2018-06-07 |
| 1336655414 | U.S. Bio-chem Medical Services | Point of Service | 4449 N I 10 Service Rd W, Metairie, LA 70006-6548 | 2017-12-27 |
| 1437604790 | New Life Recovery LLC | Point of Service | 825 Center St, New Iberia, LA 70560-5500 | 2016-08-16 |
| 1174973747 | Another Level LLC | Point of Service | 101 Curry Creek Ct, Calhoun, LA 71225-7947 | 2016-06-15 |
| 1285038240 | Rojonah Harris | Point of Service | 14482 W Muscarello Ln, Hammond, LA 70401-1577 | 2014-10-20 |
| 1497191035 | Discipleship Consultant Realtions | Point of Service | 2005 Ames Blvd, Suite #b, Marrero, LA 70072-4719 | 2013-05-21 |
| 1558634832 | Unique Expression Consultants L.l.c | Point of Service | 7310 Camberley Drive, New Orleans, LA 70128 | 2012-02-16 |
| 1558683615 | Discovery Works Treatment Center | Point of Service | 126 Touline, Natchitoches, LA 71457 | 2010-02-17 |
| 1154560894 | Special Touch Group Home, L.L.C. | Point of Service | 1405 W Lakeshore Dr, Natchitoches, LA 71457-4878 | 2009-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.