Healthcare Provider Details

I. General information

NPI: 1275128480
Provider Name (Legal Business Name): BARRE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 08/09/2021
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2273 BARATARIA BLVD STE 1&2
MARRERO LA
70072-5456
US

IV. Provider business mailing address

2273 BARATARIA BLVD STE 1&2
MARRERO LA
70072-5456
US

V. Phone/Fax

Practice location:
  • Phone: 504-236-2702
  • Fax:
Mailing address:
  • Phone: 504-766-7381
  • Fax: 504-226-5052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SABRINA M HAINS
Title or Position: ADMINISTRATOR
Credential:
Phone: 504-236-2702