Provider Demographics
NPI:1164640975
Name:A PLUS HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:A PLUS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEONNYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PECANTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-385-2336
Mailing Address - Street 1:120 S STATE ST
Mailing Address - Street 2:ROOM C
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-5149
Mailing Address - Country:US
Mailing Address - Phone:337-385-2336
Mailing Address - Fax:337-385-2750
Practice Address - Street 1:120 S STATE ST
Practice Address - Street 2:ROOM C
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-5149
Practice Address - Country:US
Practice Address - Phone:337-385-2336
Practice Address - Fax:337-385-2750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA6969251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1456853Medicaid