MEDICARE: TOTAL HOME CARE

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	506	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	506	OTHER	LA	HHA LICSENSE#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578560843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL HOME CARE

Provider Business Mailing Address
First Line	:	444 REALTY DR
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7749
Country	:	US
Telephone Number	:	504-340-8888
Fax Number	:	504-340-2277

Provider Business Practice Location Address
First Line	:	444 REALTY DR
Second Line	:
City	:	GRETNA
State	:	LA
Zip	:	70056-7749
Country	:	US
Telephone Number	:	504-340-8888
Fax Number	:	504-340-2277

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. HAROLD E STANLEY
Credential	:
Telephone Number	:	504-340-8888

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/22/2020

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Directions to “TOTAL HOME CARE ” Practice Location

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