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NPI 1104836980

NPI 1104836980 : GENEROUS HEALTH CARE, INC. : LAFAYETTE, LA

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General NPI Number Information
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    NPI Number           |    1104836980
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENEROUS HEALTH CARE, INC. 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    11/13/2025
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Provider Practice Location Address
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    Address Line         |    1304 BERTRAND DR SUITE A2 & A3
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70506-9103
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    Country              |    US
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    Telephone            |    337-593-1198
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    Fax                  |    337-593-1197
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Provider Business Mailing Address
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    Address Line         |    1901 OAK PARK BLVD 
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    City                 |    LAKE CHARLES
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    State                |    LA
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    Zip                  |    70601-8915
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    Country              |    US
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    Telephone            |    337-562-1140
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    Fax                  |    337-562-1142
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MS. KATHLEEN M MILLER 
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    Credential           |    BS
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    Telephone            |    337-562-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    2203781707
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    License Number State |    LA
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