Provider Demographics
NPI:1043472590
Name:DIVINE COMFORT HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:DIVINE COMFORT HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATAUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANNEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-439-9481
Mailing Address - Street 1:1000 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4053
Mailing Address - Country:US
Mailing Address - Phone:504-841-0023
Mailing Address - Fax:504-841-0024
Practice Address - Street 1:1000 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2852
Practice Address - Country:US
Practice Address - Phone:504-841-0023
Practice Address - Fax:504-841-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1462888Medicaid