Healthcare Provider Details

I. General information

NPI: 1922046226
Provider Name (Legal Business Name): LOUISIANA HOMECARE OF MISS-LOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 FRITZ ST
JONESVILLE LA
71343-2504
US

IV. Provider business mailing address

P.O. BOX 51266
LAFAYETTE LA
70505-1266
US

V. Phone/Fax

Practice location:
  • Phone: 318-336-2323
  • Fax: 318-336-2631
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 Number1000
License Number StateLA

VIII. Authorized Official

Name: MR. JOSHUA PROFFITT
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307