Organization
ST. MATTHEW'S DIRECT CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J SNEED (CHIEF ADMINISTRATOR)
(318) 213-2273
Entity
Organization
Contact information
Practice address
2620 CENTENARY BLVD, BLDG 1 SUITE 104, SHREVEPORT, LA 71104-3356
(318) 213-2273
(318) 213-2275
Mailing address
2620 CENTENARY BLVD STE 104, SHREVEPORT, LA 71104-3351
(318) 213-2273
(318) 213-2275
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
20081
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20081
—
LA
Enumeration date
07/31/2008
Last updated
02/23/2026
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