OrganizationActive
Seniors Club
NPI 1487870366 · Custodial Care Facility · Shreveport, LA
Provider details
- NPI number
- 1487870366
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Mccoy, Executive Director(318) 635-0010
- License
- 7392 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2653 Malcolm St
Shreveport, LA 71108-2720
Phone: (318) 635-0010
Fax: (318) 635-8844
Street-level locationGet directions
Mailing address
2653 Malcolm St
Shreveport, LA 71108-2720
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2008-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.