Healthcare Provider Details

I. General information

NPI: 1922930890
Provider Name (Legal Business Name): ANDRE'S CREATIVE HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18714 LOCH BEND AVE
GREENWELL SPRINGS LA
70739-4770
US

IV. Provider business mailing address

PO BOX 64631
BATON ROUGE LA
70896-4631
US

V. Phone/Fax

Practice location:
  • Phone: 225-615-7621
  • Fax: 225-615-7621
Mailing address:
  • Phone: 225-615-7621
  • Fax: 225-615-7621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: LAJUNA J SCOTT
Title or Position: REAL ESTATE INVESTOR
Credential:
Phone: 225-615-7621