MEDICARE: CARE SERVICES OF NW LOUISIANA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932226123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE SERVICES OF NW LOUISIANA, LLC

Provider Business Mailing Address
First Line	:	3018 OLD MINDEN RD
Second Line	:	SUITE 1201
City	:	BOSSIER CITY
State	:	LA
Zip	:	71112-2446
Country	:	US
Telephone Number	:	318-742-8380
Fax Number	:	318-741-3645

Provider Business Practice Location Address
First Line	:	3018 OLD MINDEN RD
Second Line	:	SUITE 1201
City	:	BOSSIER CITY
State	:	LA
Zip	:	71112-2446
Country	:	US
Telephone Number	:	318-742-8380
Fax Number	:	318-741-3645

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA WATSON
Credential	:
Telephone Number	:	318-742-8380

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	08/22/2020

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Directions to “CARE SERVICES OF NW LOUISIANA, LLC ” Practice Location

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