Provider Demographics
NPI:1386850121
Name:RMS CARE PROVIDERS INC
Entity Type:Organization
Organization Name:RMS CARE PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MATTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-748-8007
Mailing Address - Street 1:31294 HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-6642
Mailing Address - Country:US
Mailing Address - Phone:985-748-8007
Mailing Address - Fax:985-748-8035
Practice Address - Street 1:31294 HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-6642
Practice Address - Country:US
Practice Address - Phone:985-748-8007
Practice Address - Fax:985-748-8035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9780251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1157279Medicaid