Healthcare Provider Details

I. General information

NPI: 1538174347
Provider Name (Legal Business Name): LCMC HEALTH HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date: 01/09/2017
Reactivation Date: 01/26/2017

III. Provider practice location address

4200 HOUMA BOULEVARD
METAIRIE LA
70006-0000
US

IV. Provider business mailing address

4200 HOUMA BOULEVARD
METAIRIE LA
70006-0000
US

V. Phone/Fax

Practice location:
  • Phone: 504-503-4804
  • Fax: 504-503-6046
Mailing address:
  • Phone: 504-503-4804
  • Fax: 504-503-6046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number122
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number122
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number2672
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number122
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number9110018
License Number StateLA
# 6
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number122
License Number StateLA

VIII. Authorized Official

Name: JENNY REESE MCALISTER
Title or Position: DIRECTOR
Credential:
Phone: 504-503-6783