Provider Demographics
NPI:1508863739
Name:BATON ROUGE HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:BATON ROUGE HOME HEALTH SERVICES, INC
Other - Org Name:PROFESSIONAL HOME HEALTH OF BATON ROUGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-448-0891
Mailing Address - Street 1:3233 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2250
Mailing Address - Country:US
Mailing Address - Phone:225-293-7773
Mailing Address - Fax:225-293-1890
Practice Address - Street 1:3233 S SHERWOOD FOREST BLVD
Practice Address - Street 2:STE 103
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2250
Practice Address - Country:US
Practice Address - Phone:225-293-7773
Practice Address - Fax:225-293-1890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1400190Medicaid
LA19-7019Medicare ID - Type UnspecifiedMEDICARE NUMBER