Provider Demographics
NPI:1073812087
Name:NEW ORLEANS HOME FOR THE INCURABLES, INC
Entity Type:Organization
Organization Name:NEW ORLEANS HOME FOR THE INCURABLES, INC
Other - Org Name:JOHN J HAINKEL JR HOME AND REHABILITION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:MARY BROOKS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-372-4616
Mailing Address - Street 1:612 HENRY CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5818
Mailing Address - Country:US
Mailing Address - Phone:504-896-1315
Mailing Address - Fax:
Practice Address - Street 1:612 HENRY CLAY AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5818
Practice Address - Country:US
Practice Address - Phone:504-896-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2142585Medicaid