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Shreveport Scc LLC

Skilled Nursing Facility in Shreveport, LA · enumerated 2015 · authorized official Michael Beal, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609257450

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Registry record

Entity type Organization (Type 2)
Legal business name Shreveport Scc LLC
Other name <Unavail>
Practice address 3302 Mansfield Rd, Shreveport, LA, 71103
Phone (318) 222-9482
Fax (318) 424-9985
Enumeration date Jun 17, 2015
Last updated in NPPES Mar 4, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Michael Beal
Title Chief Executive Officer
Phone (214) 252-7600

Other identifiers

Identifier Type State Issuer
1517569 Medicaid LA -
19-5515 Other LA MEDICARE PART A

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Shreveport Scc LLC?
The NPI for Shreveport Scc LLC is 1609257450, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shreveport Scc LLC?
NPPES lists Michael Beal (Chief Executive Officer) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-04.