Healthcare Provider Details

I. General information

NPI: 1285562686
Provider Name (Legal Business Name): COMMUNITY CARE OF EVANGELINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 REV E D ALFRED ST
VILLE PLATTE LA
70586-5103
US

IV. Provider business mailing address

825 REV E D ALFRED ST
VILLE PLATTE LA
70586-5103
US

V. Phone/Fax

Practice location:
  • Phone: 337-459-6368
  • Fax:
Mailing address:
  • Phone: 337-459-6368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ARTHUR JAMES SAMPSON JR.
Title or Position: BOARD MEMBER
Credential:
Phone: 337-459-6368