Provider Demographics
NPI:1225129026
Name:NURSES REGISTRY HOME HEALTH INC
Entity Type:Organization
Organization Name:NURSES REGISTRY HOME HEALTH INC
Other - Org Name:NURSES REGISTRY HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:C
Authorized Official - Last Name:BREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-736-0803
Mailing Address - Street 1:990 N CORPORATE DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-3331
Mailing Address - Country:US
Mailing Address - Phone:504-736-0803
Mailing Address - Fax:504-736-0501
Practice Address - Street 1:990 N CORPORATE DR
Practice Address - Street 2:SUITE 302
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-3331
Practice Address - Country:US
Practice Address - Phone:504-736-0803
Practice Address - Fax:504-736-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA542251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1404195Medicaid
LA197545Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER NUMB
LA1404195Medicaid