Provider Demographics
NPI:1295853737
Name:AMERICAN PRIDE CAREGIVERS LLC
Entity Type:Organization
Organization Name:AMERICAN PRIDE CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:LORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-623-5100
Mailing Address - Street 1:PO BOX 481
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71353-0481
Mailing Address - Country:US
Mailing Address - Phone:337-623-5100
Mailing Address - Fax:337-623-0484
Practice Address - Street 1:422 DODGE ST
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:LA
Practice Address - Zip Code:71353
Practice Address - Country:US
Practice Address - Phone:337-623-5100
Practice Address - Fax:337-623-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA11389251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1477788Medicaid