MEDICARE: CONCERNED CARE HOME HEALTH

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	24	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	:	1841208527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCERNED CARE HOME HEALTH

Provider Business Mailing Address
First Line	:	3621 RIDGELAKE DR STE 307
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-1739
Country	:	US
Telephone Number	:	504-210-1971
Fax Number	:

Provider Business Practice Location Address
First Line	:	3621 RIDGELAKE DR STE 201
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-1739
Country	:	US
Telephone Number	:	985-892-3947
Fax Number	:

Authorized Official
Title or Position	:	MEMBER/OWNER
Name	:	JODY MARTIN
Credential	:
Telephone Number	:	985-892-3947

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	05/23/2024

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Directions to “CONCERNED CARE HOME HEALTH ” Practice Location

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