Provider Demographics
NPI:1326131996
Name:RESPACARE OF LOUISIANA LLC
Entity Type:Organization
Organization Name:RESPACARE OF LOUISIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:S
Authorized Official - Last Name:VAZQUEZ-VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-652-9933
Mailing Address - Street 1:3009 NEW HIGHWAY 51
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-6466
Mailing Address - Country:US
Mailing Address - Phone:985-652-9933
Mailing Address - Fax:985-652-9530
Practice Address - Street 1:3009 NEW HIGHWAY 51
Practice Address - Street 2:SUITE B
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-6466
Practice Address - Country:US
Practice Address - Phone:985-652-9933
Practice Address - Fax:985-652-9530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA48-0011164332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1143171Medicaid
LAH4316OtherBLUE CROSS
LAH4316OtherBLUE CROSS