Healthcare Provider Details
I. General information
NPI: 1649496662
Provider Name (Legal Business Name): METROPOLITAN CIRCLES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2007
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3510 LINWOOD AVE
SHREVEPORT LA
71103-4512
US
IV. Provider business mailing address
3510 LINWOOD AVE
SHREVEPORT LA
71103-4512
US
V. Phone/Fax
- Phone: 318-636-4194
- Fax: 318-636-4196
- Phone: 318-636-4194
- Fax: 318-636-4196
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 1461954 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311Z00000X |
| Taxonomy | Custodial Care Facility |
| License Number | 8267 |
| License Number State | LA |
VIII. Authorized Official
Name: MR.
JAMES
E.
THROWER
JR.
Title or Position: CEO
Credential: LCSW
Phone: 318-636-4194