Provider Type Icon

NORTHSHORE INCS LLC NPI 1902024656


NPI Information

NPI: 1902024656
Provider Name: NORTHSHORE INCS, LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
742 E I 10 SERVICE RD
SLIDELL, LA
ZIP 70461
Phone: (985) 649-1605
Get Directions

NORTHSHORE INCS, LLC is a point of service in Slidell, LA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. NORTHSHORE INCS, LLC NPI is 1902024656. The provider is registered as an organization entity type.

The provider's business location address is:

742 E I 10 SERVICE RD
SLIDELL, LA
ZIP 70461-518
Phone: (985) 649-1605

The provider's authorized official is Chris Tedesco .
The authorized official title is Program Coordinator and has the following contact phone number (985) 639-1605.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service10386LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11171956MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.