Healthcare Provider Details

I. General information

NPI: 1215119995
Provider Name (Legal Business Name): RMS CARE PROVIDERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6554 FLORIDA BLVD
BATON ROUGE LA
70806-4474
US

IV. Provider business mailing address

31294 HIGHWAY 16
AMITE LA
70422-6642
US

V. Phone/Fax

Practice location:
  • Phone: 225-952-9493
  • Fax: 225-952-9495
Mailing address:
  • Phone: 985-748-8007
  • Fax: 985-748-8035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number12257
License Number StateLA

VIII. Authorized Official

Name: MRS. MATTIE JOHNSON
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 985-748-8007