Provider Demographics
NPI:1003905852
Name:TOTAL HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:TOTAL HEALTH SERVICES,LLC
Other - Org Name:TOTAL HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:SOILEAU
Authorized Official - Last Name:VEDROS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:504-239-4989
Mailing Address - Street 1:505 AMELIA ST. SUITE A
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-5926
Mailing Address - Country:US
Mailing Address - Phone:504-340-8888
Mailing Address - Fax:504-535-7406
Practice Address - Street 1:330 AMELIA ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5323
Practice Address - Country:US
Practice Address - Phone:504-340-8888
Practice Address - Fax:504-535-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA506251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA197508Medicare Oscar/Certification