MEDICARE: UNITED HOME CARE SERVICES-SW, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	437	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063552289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HOME CARE SERVICES-SW, INC.

Provider Business Mailing Address
First Line	:	8120 KELWOOD AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4843
Country	:	US
Telephone Number	:	225-292-8206
Fax Number	:	225-292-4409

Provider Business Practice Location Address
First Line	:	115 WILLIAMSBURG ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-5719
Country	:	US
Telephone Number	:	337-439-7879
Fax Number	:	337-439-7918

Authorized Official
Title or Position	:	A/R MANAGER
Name	:	TARA HOWINGTON
Credential	:
Telephone Number	:	318-398-9660

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	04/09/2010

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