MEDICARE: LOUISIANA HOMECARE OF GREATER NEW ORLEANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1024	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073544961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISIANA HOMECARE OF GREATER NEW ORLEANS

Provider Business Mailing Address
First Line	:	420 W PINHOOK RD
Second Line	:	SUITE A
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2131
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-233-5764

Provider Business Practice Location Address
First Line	:	2055 PAXTON ST
Second Line	:	UNIT B
City	:	HARVEY
State	:	LA
Zip	:	70058-5911
Country	:	US
Telephone Number	:	504-371-8379
Fax Number	:	504-371-8382

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	MR. KEITH G. MYERS
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	08/22/2020

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Directions to “LOUISIANA HOMECARE OF GREATER NEW ORLEANS ” Practice Location

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