MEDICARE: HEALTHCARE PLUS LIMITED LIABILITY COMPANY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	2086S0129X	Vascular Surgery Physician
3	208D00000X	General Practice Physician
4	363A00000X	Physician Assistant
5	363L00000X	Nurse Practitioner
6	174400000X	Specialist

General Provider Information

NPI Number	:	1063927465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE PLUS LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	434 KATHERINE DR
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-8810
Country	:	US
Telephone Number	:	769-243-6141
Fax Number	:	601-510-1665

Provider Business Practice Location Address
First Line	:	1108 BELMONT PL
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-3707
Country	:	US
Telephone Number	:	769-243-6141
Fax Number	:	601-510-1665

Authorized Official
Title or Position	:	CHIEF HUMAN RESOURCE OFFICER
Name	:	LACHELLE GRIFFIN
Credential	:
Telephone Number	:	769-208-4437

Provider Enumeration Date	:	12/07/2017
Last Update Date	:	05/29/2025

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