Provider Demographics
NPI:1184013914
Name:A1 ABSOLUTE BEST CARE L.L.C.
Entity Type:Organization
Organization Name:A1 ABSOLUTE BEST CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-368-0206
Mailing Address - Street 1:1925 COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2348
Mailing Address - Country:US
Mailing Address - Phone:504-368-0206
Mailing Address - Fax:
Practice Address - Street 1:1925 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2348
Practice Address - Country:US
Practice Address - Phone:504-368-0206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7376-A261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1275752073Medicaid
LA1023237823Medicaid
LA1184843997Medicaid
LA1548487457Medicaid