Provider Demographics
NPI:1467863100
Name:BEN'S HOME CARE
Entity Type:Organization
Organization Name:BEN'S HOME CARE
Other - Org Name:HOME HELPERS AND DIRECT LINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SCLONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEZENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-831-8171
Mailing Address - Street 1:308 COURT ST
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-5248
Mailing Address - Country:US
Mailing Address - Phone:337-363-8530
Mailing Address - Fax:337-363-8527
Practice Address - Street 1:308 COURT ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-5248
Practice Address - Country:US
Practice Address - Phone:337-363-8530
Practice Address - Fax:337-363-8527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781964251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1195219Medicaid