MEDICARE: LOUISIANA HOME HEALTH OF HOUMA, LLC

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

General Provider Information

NPI Number	:	1972740645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISIANA HOME HEALTH OF HOUMA, LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 51266
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1266
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-233-5764

Provider Business Practice Location Address
First Line	:	2439 MANHATTAN BLVD
Second Line	:	SUITE 400
City	:	HARVEY
State	:	LA
Zip	:	70058-5328
Country	:	US
Telephone Number	:	504-227-9991
Fax Number	:	504-367-0597

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONALD D. STELLY
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	02/10/2015

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