=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699270843
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL ABOUT YOU HOME HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/29/2018
-----------------------------------------------------
Last Update Date | 03/29/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3109 COMMON ST STE 100
-----------------------------------------------------
City | LAKE CHARLES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70601-8575
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-602-6145
-----------------------------------------------------
Fax | 337-474-2591
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3109 COMMON ST STE 100
-----------------------------------------------------
City | LAKE CHARLES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70601-8575
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-602-6145
-----------------------------------------------------
Fax | 337-474-2591
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | SATRICA D WILLIAMS
-----------------------------------------------------
Credential | JD
-----------------------------------------------------
Telephone | 337-794-7931
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------