MEDICARE: S.K.I.L.L.S. HOME HEALTHCARE, INC.

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	503	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	:	1073656609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S.K.I.L.L.S. HOME HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	4311 BLUEBONNET BOULEVARD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809
Country	:	US
Telephone Number	:	225-928-8989
Fax Number	:	225-928-8990

Provider Business Practice Location Address
First Line	:	9420 LINDALE AVE
Second Line	:	SUITE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-4161
Country	:	US
Telephone Number	:	225-924-2679
Fax Number	:	225-924-6379

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. CHARLES ALLEN LANPHIER
Credential	:
Telephone Number	:	225-928-8989

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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