Provider Demographics
NPI:1346247145
Name:AAA HOME HEALTH, INC.
Entity Type:Organization
Organization Name:AAA HOME HEALTH, INC.
Other - Org Name:AAA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:S
Authorized Official - Last Name:SONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:CHCE
Authorized Official - Phone:337-367-0940
Mailing Address - Street 1:2111 HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-8317
Mailing Address - Country:US
Mailing Address - Phone:337-367-0940
Mailing Address - Fax:337-365-0970
Practice Address - Street 1:2111 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-8317
Practice Address - Country:US
Practice Address - Phone:337-367-0940
Practice Address - Fax:337-365-0970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA162251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1583898Medicaid
LA30990OtherBLUE CROSS BLUE SHIELD
LA191606Medicare ID - Type UnspecifiedMEDICARE