Provider Demographics
NPI:1609227099
Name:TOP OF THE LINE HOME CARE SERVICES
Entity Type:Organization
Organization Name:TOP OF THE LINE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:STILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:318-294-1429
Mailing Address - Street 1:3815 VELVA AVE
Mailing Address - Street 2:SAME
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71109-5837
Mailing Address - Country:US
Mailing Address - Phone:318-294-1429
Mailing Address - Fax:318-216-3947
Practice Address - Street 1:9631 AMBLEWOOD LN
Practice Address - Street 2:SAME
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71118-5021
Practice Address - Country:US
Practice Address - Phone:318-294-1429
Practice Address - Fax:318-216-3947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child