Healthcare Provider Details

I. General information

NPI: 1093359929
Provider Name (Legal Business Name): MY LIVING HOPE CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3018 OLD MINDEN RD STE 1205
BOSSIER CITY LA
71112-2491
US

IV. Provider business mailing address

3018 OLD MINDEN RD STE 1205
BOSSIER CITY LA
71112-2491
US

V. Phone/Fax

Practice location:
  • Phone: 318-759-0534
  • Fax: 504-399-7007
Mailing address:
  • Phone: 318-759-0534
  • Fax: 504-399-7007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: CHERYL J. RAMBO
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-423-1094