Healthcare Provider Details
I. General information
NPI: 1447175385
Provider Name (Legal Business Name): PELICAN CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3725 MACARTHUR BLVD STE 1A
NEW ORLEANS LA
70114-6825
US
IV. Provider business mailing address
3725 MACARTHUR BLVD STE 1A
NEW ORLEANS LA
70114-6825
US
V. Phone/Fax
- Phone: 504-300-9927
- Fax:
- Phone: 504-300-9927
- Fax:
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: MRS.
SHAWANDA
POREE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 504-520-0066