MEDICARE: HOMECARE RESOURCES, 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	251E00000X	Home Health Agency	992	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	:	1871580415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE RESOURCES, LLC

Provider Business Mailing Address
First Line	:	1707 WARREN ST
Second Line	:
City	:	WINNSBORO
State	:	LA
Zip	:	71295-2939
Country	:	US
Telephone Number	:	318-435-3342
Fax Number	:	318-435-5191

Provider Business Practice Location Address
First Line	:	1707 WARREN ST
Second Line	:
City	:	WINNSBORO
State	:	LA
Zip	:	71295-2939
Country	:	US
Telephone Number	:	318-435-3342
Fax Number	:	318-435-5191

Authorized Official
Title or Position	:	OWNER
Name	:	MR. NOBLE ELLINGTON III
Credential	:	RN
Telephone Number	:	318-435-3342

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	08/22/2020

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Directions to “HOMECARE RESOURCES, LLC ” Practice Location

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