Healthcare Provider Details

I. General information

NPI: 1396669636
Provider Name (Legal Business Name): LA HOME HEALTH AND THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6170 HIGHWAY 63 OFC
CLINTON LA
70722-5047
US

IV. Provider business mailing address

6170 HIGHWAY 63 OFC
CLINTON LA
70722-5047
US

V. Phone/Fax

Practice location:
  • Phone: 202-709-0755
  • Fax:
Mailing address:
  • Phone: 202-709-0755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY DIANNE FRAZIER
Title or Position: MANAGING MEMBER
Credential:
Phone: 202-709-0755