Provider Demographics
NPI:1437892452
Name:LAVISH HOME CARE & SITTING AGENCY LLC
Entity Type:Organization
Organization Name:LAVISH HOME CARE & SITTING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-240-8738
Mailing Address - Street 1:714 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2822
Mailing Address - Country:US
Mailing Address - Phone:504-240-8738
Mailing Address - Fax:
Practice Address - Street 1:714 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2822
Practice Address - Country:US
Practice Address - Phone:504-240-8738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1902549918Medicaid