Provider Demographics
NPI:1073544961
Name:LOUISIANA HOMECARE OF GREATER NEW ORLEANS
Entity Type:Organization
Organization Name:LOUISIANA HOMECARE OF GREATER NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:G
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-1307
Mailing Address - Street 1:420 W PINHOOK RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2131
Mailing Address - Country:US
Mailing Address - Phone:337-233-1307
Mailing Address - Fax:337-233-5764
Practice Address - Street 1:2055 PAXTON ST
Practice Address - Street 2:UNIT B
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5911
Practice Address - Country:US
Practice Address - Phone:504-371-8379
Practice Address - Fax:504-371-8382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1024251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1401790Medicaid
LA19-7179Medicare ID - Type UnspecifiedHOME HEALTH