Provider Demographics
NPI:1497995146
Name:ARENA SITTING SERVICE PCA,LLC
Entity Type:Organization
Organization Name:ARENA SITTING SERVICE PCA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:504-889-8380
Mailing Address - Street 1:3814 VETERANS BLVD.
Mailing Address - Street 2:STE. #202
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-889-8380
Mailing Address - Fax:504-889-8390
Practice Address - Street 1:3814 VETERANS MEMORIAL BLVD.
Practice Address - Street 2:STE. #202
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-889-8380
Practice Address - Fax:504-889-8390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PCA15180251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health