Provider Demographics
NPI:1235353707
Name:CENTRAL HOME HEALTH OF METAIRIE LLC
Entity Type:Organization
Organization Name:CENTRAL HOME HEALTH OF METAIRIE LLC
Other - Org Name:AT HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEHARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-513-3125
Mailing Address - Street 1:4200 EUPHROSINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1315
Mailing Address - Country:US
Mailing Address - Phone:504-401-2900
Mailing Address - Fax:504-336-2303
Practice Address - Street 1:150 S 7TH ST STE B
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-3321
Practice Address - Country:US
Practice Address - Phone:504-513-3125
Practice Address - Fax:866-685-4614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA19-7555Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER NUMB