Healthcare Provider Details

I. General information

NPI: 1285849398
Provider Name (Legal Business Name): E HOME CARE MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 BAYOU TORTUE RD A-1
BROUSSARD LA
70518-7506
US

IV. Provider business mailing address

PO BOX 1047
BROUSSARD LA
70518-1047
US

V. Phone/Fax

Practice location:
  • Phone: 337-837-6420
  • Fax: 337-837-6665
Mailing address:
  • Phone: 337-837-6420
  • Fax: 337-837-6665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number2587277-001
License Number StateLA

VIII. Authorized Official

Name: MS. FRANCES H. BERNARD
Title or Position: CEO PRESIDENT
Credential:
Phone: 337-837-6420