Healthcare Provider Details

I. General information

NPI: 1356517841
Provider Name (Legal Business Name): PAYNES HOME CARE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7829 FIG ST
NEW ORLEANS LA
70125-2531
US

IV. Provider business mailing address

PO BOX 13321
NEW ORLEANS LA
70185-3321
US

V. Phone/Fax

Practice location:
  • Phone: 504-865-8142
  • Fax: 504-866-4775
Mailing address:
  • Phone: 504-865-8142
  • Fax: 504-866-4775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number7215
License Number StateLA

VIII. Authorized Official

Name: MS. KATHY C PAYNE
Title or Position: EXEC DIRECTOR
Credential:
Phone: 504-444-4131