Provider Demographics
NPI:1013041268
Name:HOMECARE PCA, LLC
Entity Type:Organization
Organization Name:HOMECARE PCA, LLC
Other - Org Name:A-ABSOLUTE HOMECARE PCA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-369-3333
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:PAINCOURTVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70391-0179
Mailing Address - Country:US
Mailing Address - Phone:985-369-3333
Mailing Address - Fax:985-369-3334
Practice Address - Street 1:6085 HIGHWAY ONE
Practice Address - Street 2:SUITE C
Practice Address - City:PAINCOURTVILLE
Practice Address - State:LA
Practice Address - Zip Code:70391
Practice Address - Country:US
Practice Address - Phone:985-369-3333
Practice Address - Fax:985-369-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11311251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1174700Medicaid