Provider Demographics
NPI:1417077348
Name:SEASONS CARE SERVICES INC
Entity Type:Organization
Organization Name:SEASONS CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:F
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:M ED LPC
Authorized Official - Phone:225-927-3377
Mailing Address - Street 1:8946 INTERLINE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1954
Mailing Address - Country:US
Mailing Address - Phone:225-927-3377
Mailing Address - Fax:225-927-3366
Practice Address - Street 1:8946 INTERLINE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1954
Practice Address - Country:US
Practice Address - Phone:225-927-3377
Practice Address - Fax:225-927-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11368251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1190578Medicaid
LA1722570Medicaid
LA1460915Medicaid