OrganizationActive
Shreveport Scc LLC
NPI 1609257450 · Skilled Nursing Facility · Shreveport, LA
Shreveport Scc LLC is a Skilled Nursing Facility organization in Shreveport, LA (NPI 1609257450).
Provider details
- NPI number
- 1609257450
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Beal, Chief Executive Officer(214) 252-7600
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3302 Mansfield Rd
Shreveport, LA 71103-4106
Phone: (318) 222-9482
Fax: (318) 424-9985
Street-level locationGet directions
Mailing address
600 N Pearl St Ste 1050
Dallas, TX 75201-7495
Other names (DBA / former)
- Doing business as
- Scc of Shreveport Manor Rehabilitation Center
- Doing business as
- Scc of Shreveport Manor Rehabilitation Center
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Frequently asked questions
- What is Shreveport Scc LLC's NPI number?
- Shreveport Scc LLC's National Provider Identifier (NPI) is 1609257450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shreveport Scc LLC?
- Shreveport Scc LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Shreveport Scc LLC located?
- Shreveport Scc LLC's practice location on file with NPPES is 3302 Mansfield Rd, Shreveport, LA 71103-4106.
- What is Shreveport Scc LLC's phone number?
- The practice phone number listed in the NPPES registry for Shreveport Scc LLC is (318) 222-9482.
- Who is the authorized official for Shreveport Scc LLC?
- The authorized official listed on Shreveport Scc LLC's NPPES record is Michael Beal, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shreveport Scc LLC's NPI active?
- Yes — Shreveport Scc LLC's NPI (1609257450) is active in the NPPES registry as of the last update on 2020-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.