Healthcare Provider Details

I. General information

NPI: 1003749201
Provider Name (Legal Business Name): GREATER LIVING CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 BARRECA ST
NORCO LA
70079-2286
US

IV. Provider business mailing address

PO BOX 202
NORCO LA
70079-0202
US

V. Phone/Fax

Practice location:
  • Phone: 985-603-4015
  • Fax: 985-603-4046
Mailing address:
  • Phone: 985-603-4015
  • Fax: 985-603-4046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GERNIKA L ROBINSON
Title or Position: OWNER
Credential: LPN
Phone: 504-307-4039