OrganizationActive
Companion Care of Swla
NPI 1467788976 · In Home Supportive Care Agency · Deridder, LA
Provider details
- NPI number
- 1467788976
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mark Wallace, Chief Administrator(337) 396-1899
- License
- PCA15305 (LA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1014 N Pine St
Deridder, LA 70634-2818
Phone: (337) 463-3550
Fax: (337) 462-8012
Street-level locationGet directions
Mailing address
1014a N Pine St
Deridder, LA 70634-2818
Registry dates
- Enumerated
- 2009-10-19
- Last updated
- 2010-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.