Healthcare Provider Details

I. General information

NPI: 1093712614
Provider Name (Legal Business Name): UNITED HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 EXPO CIR
WEST MONROE LA
71292-9414
US

IV. Provider business mailing address

213 EXPO CIR
WEST MONROE LA
71292-9414
US

V. Phone/Fax

Practice location:
  • Phone: 318-329-9090
  • Fax: 318-329-9091
Mailing address:
  • Phone: 318-329-9090
  • Fax: 318-329-9091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number456
License Number StateLA

VIII. Authorized Official

Name: JOHN JONES
Title or Position: CEO
Credential:
Phone: 318-329-9090