Provider Demographics
NPI:1326394727
Name:LAGNIAPPE HOMECARE ALEXANDRIA LLC
Entity Type:Organization
Organization Name:LAGNIAPPE HOMECARE ALEXANDRIA LLC
Other - Org Name:LAGNIAPPE HOMECARE ALEXANDRIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TEDDY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-628-4116
Mailing Address - Street 1:9258 HIGHWAY 84
Mailing Address - Street 2:
Mailing Address - City:WINNFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71483-7560
Mailing Address - Country:US
Mailing Address - Phone:318-628-4116
Mailing Address - Fax:318-628-1141
Practice Address - Street 1:9258 HIGHWAY 84
Practice Address - Street 2:
Practice Address - City:WINNFIELD
Practice Address - State:LA
Practice Address - Zip Code:71483-7560
Practice Address - Country:US
Practice Address - Phone:318-628-4116
Practice Address - Fax:318-628-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA197458Medicare Oscar/Certification