MEDICARE: LFH2004, LLC

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	314000000X	Skilled Nursing Facility		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	:	1528067022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LFH2004, LLC

Provider Business Mailing Address
First Line	:	3049 S SHERWOOD FOREST BLVD
Second Line	:	SUITE 200
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2277
Country	:	US
Telephone Number	:	225-927-4290
Fax Number	:	225-927-5385

Provider Business Practice Location Address
First Line	:	4021 CADILLAC ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-1116
Country	:	US
Telephone Number	:	504-288-2314
Fax Number	:	504-288-2317

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	SHERRY MIX
Credential	:
Telephone Number	:	225-927-4290

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1558365015 — ST BERNARD NURSING & REHAB, LLC
Practice Location Address:

4021 RONEAGLE WAY
NEW ORLEANS, LA
70122-1116

Practice Phone: 504-246-7900
Practice Fax: 504-246-6570

1912524075 — MAI NGUYEN OTA
Practice Location Address:

4021 CADILLAC ST
NEW ORLEANS, LA
70122-1116

Practice Phone: 504-246-7900
Practice Fax:

1336337427 — THE MAGNOLIA SCHOOL, INC.
Practice Location Address:

645 SAINT GEORGE AVE
NEW ORLEANS, LA
70121-1116

Practice Phone: 504-731-1303
Practice Fax: 504-733-7593

1093048704 — NP CONSULTING SERVICES, LLC
Practice Location Address:

4910 HOWARD AVE
NEW ORLEANS, LA
70125-1116

Practice Phone: 504-390-0539
Practice Fax: 504-322-2622

1235418435 — NP PROFESSIONAL SOLUTIONS, LLC
Practice Location Address:

4910 HOWARD AVE
NEW ORLEANS, LA
70125-1116

Practice Phone: 504-322-2622
Practice Fax: 504-322-2622

1629447594 — LOUISIANA CVS PHARMACY LLC
Practice Location Address:

1116 LOUISIANA AVE
NEW ORLEANS, LA
70115-2454

Practice Phone: 504-891-1818
Practice Fax:

Directions to “LFH2004, LLC ” 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.