Provider Demographics
NPI:1265820419
Name:BETTER LIVING HOME CARE SERVICE
Entity Type:Organization
Organization Name:BETTER LIVING HOME CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:T
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-717-3551
Mailing Address - Street 1:13271 CROWNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-7791
Mailing Address - Country:US
Mailing Address - Phone:225-717-3551
Mailing Address - Fax:225-450-6794
Practice Address - Street 1:13271 CROWNRIDGE DR
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-7791
Practice Address - Country:US
Practice Address - Phone:225-717-3551
Practice Address - Fax:225-450-6794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA707374Medicare PIN