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NPI Code Detail

MEDICARE: HOMETOWN SENIOR CARE LLC

MEDICARE: HOMETOWN SENIOR CARE 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
1253Z00000XIn Home Supportive Care AgencyLA

General Provider Information

NPI Number : 1821408618
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMETOWN SENIOR CARE LLC
Provider Business Mailing Address
First Line : 9121 INTERLINE AVE STE 10A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1973
Country : US
Telephone Number : 225-218-4389
Fax Number : 225-218-6388
Provider Business Practice Location Address
First Line : 9121 INTERLINE AVE STE 10A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1973
Country : US
Telephone Number : 225-218-4389
Fax Number : 225-218-6388
Authorized Official
Title or Position : PRESIDENT
Name : CARL KEPHART
Credential :
Telephone Number : 337-658-7504
Provider Enumeration Date : 05/01/2014
Last Update Date : 05/01/2014

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Directions to “HOMETOWN SENIOR CARE LLC ” Practice Location

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