Provider Demographics
NPI:1043504335
Name:HOME WITH CARE, LLC
Entity Type:Organization
Organization Name:HOME WITH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLTAU-TALBOT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MAOM
Authorized Official - Phone:336-327-2137
Mailing Address - Street 1:1406A GAUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2206
Mailing Address - Country:US
Mailing Address - Phone:336-327-2137
Mailing Address - Fax:
Practice Address - Street 1:1406A GAUSE BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2206
Practice Address - Country:US
Practice Address - Phone:336-327-2137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based