Healthcare Provider Details

I. General information

NPI: 1922265156
Provider Name (Legal Business Name): MATTERS OF THE HEART OF N. LA. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 MYERS ST.
MINDEN LA
71055
US

IV. Provider business mailing address

P.O. BOX 125
MINDEN LA
71058
US

V. Phone/Fax

Practice location:
  • Phone: 318-377-3778
  • Fax: 318-377-3879
Mailing address:
  • Phone: 318-377-3778
  • Fax: 318-377-3879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TRASHEDA KONYA TOLIVER
Title or Position: CEO/PROGRAM DIRECTOR
Credential:
Phone: 318-377-3778