Healthcare Provider Details

I. General information

NPI: 1750219457
Provider Name (Legal Business Name): STARC OF LOUISIANA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 SAINT ANN PL
SLIDELL LA
70460-2316
US

IV. Provider business mailing address

40201 HIGHWAY 190 E
SLIDELL LA
70461-2443
US

V. Phone/Fax

Practice location:
  • Phone: 985-641-0197
  • Fax: 985-624-8759
Mailing address:
  • Phone: 985-641-0197
  • Fax: 985-624-8759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: HILDA SALAZAR ROCHA
Title or Position: QUALITY ASSURANCE ADMINISTRATOR
Credential:
Phone: 985-641-0197