SENIORS CLUB
NPI 1417079526
Custodial Care Facility in Shreveport, LA

Q: What is Seniors Club's NPI number?

The NPI number for Seniors Club is 1417079526. It was assigned to this organization in the NPPES registry on April 6, 2007.

Q: What is Seniors Club's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Q: 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.

Active since April 06, 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.

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About Seniors Club NPPES

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

SENIORS CLUB (NPI 1417079526) is a healthcare organization registered as a custodial 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

NPI1417079526

Entity TypeOrganization

Primary Taxonomy311Z00000X

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 6, 2007

Last NPPES UpdateJune 23, 2008

✔ NPI 1417079526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities

Taxonomy Code311Z00000X

License✔ Licensed in LA · 1114600

Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

2653 MALCOLM ST, Shreveport, LA 71108

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Other Identifiers 3

Medicaid1114600LA

Medicaid1172596LA

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

Nursing Facility/Intermediate 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 1417079526. It was assigned to this organization in the NPPES registry on April 6, 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 Custodial Care Facility with taxonomy code 311Z00000X.

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.