Healthcare Provider Details
I. General information
NPI: 1134126337
Provider Name (Legal Business Name): AAA HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2005
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
613 BRASHEAR AVE STE 1
MORGAN CITY LA
70380-3203
US
IV. Provider business mailing address
PO BOX 51266
LAFAYETTE LA
70505-1266
US
V. Phone/Fax
- Phone: 985-384-3478
- Fax: 985-384-0560
- Phone: 337-233-1307
- Fax: 337-233-5764
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICHOLAS
GACHASSIN
III
Title or Position: SECRETARY / TREASURER
Credential:
Phone: 337-233-1307