Specialists Hospital Shreveport, Llc
Prosthetic & Orthotic Supplier
1500 Line Avenue, Suite 206, Shreveport
Louisiana, 71101-4639
318-213-3800 318-213-3801
Maps & DirectionsSpecialists Hospital Shreveport, Llc is a Prosthetic & Orthotic Supplier in Shreveport, Louisiana. It is situated at 1500 Line Avenue, Suite 206, Shreveport and its contact number is 318-213-3800. The authorized person of Specialists Hospital Shreveport, Llc is Mrs. Kandi G. Moore
who is Ceo of the store and his/her contact number is 318-632-6083. Primary license number for Specialists Hospital Shreveport, Llc is 626 in Louisiana.
Specialists Hospital Shreveport, Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Specialists Hospital Shreveport, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 1500 Line Avenue, Suite 206, Shreveport,
Louisiana, 71101-4639 |
| Phone: | 318-213-3800 |
| Fax: | 318-213-3801 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Kandi G. Moore |
| Position: | Ceo |
| Contact Number: | 318-632-6083 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Specialists Hospital Shreveport, Llc center are as mentioned below.
| NPI Number: | 1104057694 |
| NPI Enumeration Date: | 31 Jul, 2009 |
| NPI Last Update On: | 06 May, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Specialists Hospital Shreveport, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | 626 | Louisiana | Primary | |
| Prosthetic/orthotic Supplier | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1702439 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Specialists Hospital Shreveport, Llc
1500 Line Avenue, Suite 206
Shreveport, Louisiana |
| Zip: | 71101-4639 |
| Phone Number: | 318-213-3800 |
| Fax Number: | 318-213-3801 |
Patients can reach Specialists Hospital Shreveport, Llc at
1500 Line Avenue, Suite 206, Shreveport, Louisiana or can
call to book an appointment on 318-213-3800.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.