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SENIORS CLUB
NPI 1295951176
Nursing Facility/Intermediate Care Facility in Shreveport, LA

Active since April 18, 2007
2653 MALCOLM ST, SHREVEPORT, LA 71108(318) 635-0010(318) 635-8844 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seniors Club NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENIORS CLUB (NPI 1295951176) is a healthcare organization registered as a nursing facility/intermediate care facility in Shreveport, Louisiana and active in the NPI registry since April 2007. The organization lists Karen R. Mccoy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295951176
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSENIORS CLUB
Location Address2653 MALCOLM STShreveport, LA 71108-2720
Mailing Address2653 Malcolm StShreveport, LA 71108-2720 · (318) 635-0010 · Fax (318) 635-8844
Phone(318) 635-0010
Fax(318) 635-8844
Organization SubpartNo
Authorized OfficialKaren R. MccoyExecutive Director · (318) 635-0010
Enumeration DateApril 18, 2007
Last NPPES UpdateJune 23, 2008
✔ NPI 1295951176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in LA · 2677
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
2653 MALCOLM ST, Shreveport, LA 71108
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Other Identifiers 1

Medicaid1560880LA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENIORS CLUB
Custodial Care Facility
2653 MALCOLM ST
SHREVEPORT, LA 71108
Caddo Parish (318) 635-0010
SENIORS CLUB
Custodial Care Facility
2653 MALCOLM ST
SHREVEPORT, LA 71108
Caddo Parish (318) 635-0010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seniors Club's NPI number?

The NPI number for Seniors Club is 1295951176. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Seniors Club located?

Seniors Club is located at 2653 Malcolm St, Shreveport, LA 71108. The listed phone number is (318) 635-0010.

What is Seniors Club's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Seniors Club was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.