Healthcare Provider Details
I. General information
NPI: 1194272484
Provider Name (Legal Business Name): HELPING THY NEIGHBOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2016
Last Update Date: 09/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1302 ADRIAN ST
NEW IBERIA LA
70560-4937
US
IV. Provider business mailing address
925 S LEWIS ST # 194
NEW IBERIA LA
70560-6303
US
V. Phone/Fax
- Phone: 337-359-7418
- Fax:
- Phone: 337-359-7418
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | 9036518 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | 9036518 |
| License Number State | LA |
VIII. Authorized Official
Name:
SHARON
JAMES
Title or Position: REGISTERED AGENT/OWNER
Credential: LPN
Phone: 337-359-7418