Healthcare Provider Details

I. General information

NPI: 1073544961
Provider Name (Legal Business Name): LOUISIANA HOMECARE OF GREATER NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 PAXTON ST UNIT B
HARVEY LA
70058-5911
US

IV. Provider business mailing address

420 W PINHOOK RD SUITE A
LAFAYETTE LA
70503-2131
US

V. Phone/Fax

Practice location:
  • Phone: 504-371-8379
  • Fax: 504-371-8382
Mailing address:
  • Phone: 337-233-1307
  • Fax: 337-233-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1024
License Number StateLA

VIII. Authorized Official

Name: MR. KEITH G. MYERS
Title or Position: PRESIDENT / CEO
Credential:
Phone: 337-233-1307