Provider Demographics
NPI:1760639165
Name:A GOOD HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:A GOOD HOME CARE SERVICES, LLC
Other - Org Name:A GOOD HOME CARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-688-0832
Mailing Address - Street 1:6007 FINANCIAL PLAZA
Mailing Address - Street 2:SUITE 503
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129
Mailing Address - Country:US
Mailing Address - Phone:318-688-0832
Mailing Address - Fax:318-688-0834
Practice Address - Street 1:6007 FINANCIAL PLAZA
Practice Address - Street 2:SUITE 503
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129
Practice Address - Country:US
Practice Address - Phone:318-688-0832
Practice Address - Fax:318-688-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 15090251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health