Healthcare Provider Details

I. General information

NPI: 1013927532
Provider Name (Legal Business Name): PERSONAL CARE SERVICES 2000, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 OAK PARK BLVD STE 102
LAKE CHARLES LA
70601-8999
US

IV. Provider business mailing address

1901 OAK PARK BLVD
LAKE CHARLES LA
70601-8915
US

V. Phone/Fax

Practice location:
  • Phone: 337-430-0245
  • Fax: 337-900-0068
Mailing address:
  • Phone: 337-562-1140
  • Fax: 337-562-1142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License NumberPCA 11776
License Number StateLA

VIII. Authorized Official

Name: MRS. DAWN PATRICIA REED
Title or Position: COO
Credential:
Phone: 337-562-1140