Provider Demographics
NPI:1093952723
Name:SAINT MICHAEL HEALTH CARE, LLC
Entity Type:Organization
Organization Name:SAINT MICHAEL HEALTH CARE, LLC
Other - Org Name:VINCENT ALEXANDER DBA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-332-1144
Mailing Address - Street 1:345 W MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-4805
Mailing Address - Country:US
Mailing Address - Phone:337-332-1144
Mailing Address - Fax:
Practice Address - Street 1:345 W MILLS AVE
Practice Address - Street 2:
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-4805
Practice Address - Country:US
Practice Address - Phone:337-332-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
LAPCA 15153311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility