=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629296025
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING HANDS HOMEMAKER SERV INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2007
-----------------------------------------------------
Last Update Date | 05/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8676 GOODWOOD BLVD 402 SUITE
-----------------------------------------------------
City | BATON ROUGE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70806-7914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-923-2439
-----------------------------------------------------
Fax | 225-923-3696
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8676 GOODWOOD BLVD 402 SUITE
-----------------------------------------------------
City | BATON ROUGE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70806-7914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-923-2439
-----------------------------------------------------
Fax | 225-923-3696
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | ETHEL COMEAUX
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 225-923-2439
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 305S00000X
-----------------------------------------------------
Taxonomy Name | Point of Service
-----------------------------------------------------
License Number | 1436160
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 305R00000X
-----------------------------------------------------
Taxonomy Name | Preferred Provider Organization
-----------------------------------------------------
License Number | 1178225
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------