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Seniors Club

NPI 1417079526ActiveOrganization· Custodial Care Facility· Shreveport, LA

Custodial Care Facility in Shreveport, Louisiana, registered in NPPES in April 2007. The authorized official on file is Karen R. McCoy, RN, Executive Director.

Overview

NPI1417079526
StatusActive
Entity typeOrganization
NPI issuedApr 6, 2007
Last updated in NPPESJun 23, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Custodial Care Facility Primary311Z00000X1114600LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Custodial Care Facility providers in Shreveport

All Custodial Care Facility providers in Louisiana