EXCELLENCE PHYSICIAN BILLING (NPI# 1912230228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912230228 |
| Entity Type | Organization |
| Organization Name | EXCELLENCE PHYSICIAN BILLING |
| Practice Address |
9501 Chase Way Shreveport LA 71118-4619 |
| Mailing Address |
Po Box 19284 Shreveport LA 71149-0284 |
| Practice Telephone | 3187730657 |
| Practice Fax Number | 3186880326 |
| Mailing Telephone | 3187730657 |
| Mailing Fax Number | 3186880326 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | GLADYS T BUSH (BILLING AGENT) |
| Authorized Official Telephone | 3187730657 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | Agencies |
| Street Address |
9501 CHASE WAY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326690 | Gladys T Bush | Prevention Professional | 9501 Chase Way, Shreveport, LA 71118-4619 | 2020-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225291941 | Companion Care of Swla | Supports Brokerage | 410 Bon Ami St, Deridder, LA 70634-4830 | 2008-07-02 |
| 1073775888 | Visiting Care Association of Florida Parishes, LLC | Supports Brokerage | 207 E Charles St, Hammond, LA 70401-3305 | 2008-07-02 |
| 1487873147 | Community Support Specialists, Inc | Supports Brokerage | 7921 Bullard Ave, New Orleans, LA 70128-1197 | 2007-04-24 |
| 1639483548 | Comprehensive Independent Goals Inc | Supports Brokerage | 2138 Wooddale Blvd, Ste 3, Baton Rouge, LA 70806-1443 | 2010-08-03 |
| 1598079428 | Comprehensive Independent Goals, Inc. | Supports Brokerage | 2138 Wooddale Blvd, Ste - 3, Baton Rouge, LA 70806-1443 | 2010-08-03 |
| 1720230121 | Visiting Care Association of The Florida Parishes, LLC | Supports Brokerage | 207 E Charles St, Hammond, LA 70401-3305 | 2008-10-16 |
| 1831374370 | Community Support Specialists, Inc | Supports Brokerage | 7921 Bullard Ave, Unit 2b, New Orleans, LA 70128-1197 | 2008-01-03 |
| 1750566295 | Peoples Choice of America | Supports Brokerage | 7240 Crowder Blvd, Ste 209, New Orleans, LA 70127-1922 | 2008-01-03 |
| City | SHREVEPORT |
| Zip Code | 71118 |
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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.