MEDICARE: E D & J GROUP HOME

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	251G00000X	Community Based Hospice Care Agency

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	:	1518090943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E D & J GROUP HOME

Provider Business Mailing Address
First Line	:	PO BOX 657
Second Line	:
City	:	VIOLET
State	:	LA
Zip	:	70092-0657
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5602 6TH ST
Second Line	:
City	:	VIOLET
State	:	LA
Zip	:	70092-3039
Country	:	US
Telephone Number	:	504-272-0269
Fax Number	:	504-272-0271

Authorized Official
Title or Position	:	OWNER
Name	:	ERNEST DISON
Credential	:
Telephone Number	:	504-272-0269

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/16/2008

Similar Medicare Providers

1386780260 — MOORES RESPITE CARE & PCA SERVICES
Practice Location Address:

6201 E SAINT BERNARD HWY , SUITE D
VIOLET, LA
70092-3458

Practice Phone: 504-682-9882
Practice Fax: 504-682-9881

1619000700 — LIL LUS BOOMING ENTERPRISE, INC
Practice Location Address:

6201 E SAINT BERNARD HWY STE E
VIOLET, LA
70092-3459

Practice Phone: 504-682-2440
Practice Fax: 504-682-6668

1568581460 — LIL LUS BOOMING ENTERPRISE INC
Practice Location Address:

6201 E SAINT BERNARD HWY , SUITE E
VIOLET, LA
70092-3458

Practice Phone: 504-682-2440
Practice Fax: 504-682-6668

1497875173 — LIL LUS BOOMING ENTERPRISE INC
Practice Location Address:

6201 E SAINT BERNARD HWY , SUITE E
VIOLET, LA
70092-3458

Practice Phone: 504-682-2440
Practice Fax: 504-682-6668

1154549442 — LIL LUS BOOMING ENTERPRISE INC
Practice Location Address:

6201 E SAINT BERNARD HWY , SUITE E
VIOLET, LA
70092-3458

Practice Phone: 504-682-2440
Practice Fax: 504-682-6668

1164770566 — EXTENDED FAMILY CARE LLC
Practice Location Address:

3309 ASHLEY DR , 3309 ASHLEY
VIOLET, LA
70092-2837

Practice Phone: 504-231-1060
Practice Fax:

Directions to “E D & J GROUP HOME ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.