Provider Demographics
NPI:1366647851
Name:HITECH HOME CARE, INC
Entity Type:Organization
Organization Name:HITECH HOME CARE, INC
Other - Org Name:COMMUNITY HOME HELATH CARE DBA IBC MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-857-2580
Mailing Address - Street 1:PO BOX 930
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-0930
Mailing Address - Country:US
Mailing Address - Phone:337-857-2580
Mailing Address - Fax:337-857-2579
Practice Address - Street 1:327 IBERIA ST UNIT 5
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-5738
Practice Address - Country:US
Practice Address - Phone:337-857-2580
Practice Address - Fax:337-857-2579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA857251E00000X
LA1065251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1406597Medicaid
LA1406597Medicaid