Healthcare Provider Details

I. General information

NPI: 1902892797
Provider Name (Legal Business Name): CENTRAL LOUISIANA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 E MAIN ST
VILLE PLATTE LA
70586-4618
US

IV. Provider business mailing address

804 E MAIN ST
VILLE PLATTE LA
70586-4618
US

V. Phone/Fax

Practice location:
  • Phone: 337-252-6400
  • Fax: 337-252-6402
Mailing address:
  • Phone: 337-252-6400
  • Fax: 337-252-6402

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: RHONDA MAYO
Title or Position: ADMINISTRATOR
Credential:
Phone: 337-252-6400