Provider Demographics
NPI:1528392917
Name:PAYNE'S IN-HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:PAYNE'S IN-HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:A
Authorized Official - Last Name:EZIEME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-865-8142
Mailing Address - Street 1:127 MARIE ST
Mailing Address - Street 2:P. O. BOX 2703
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-4175
Mailing Address - Country:US
Mailing Address - Phone:504-865-8142
Mailing Address - Fax:504-866-4714
Practice Address - Street 1:127 MARIE ST
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-4175
Practice Address - Country:US
Practice Address - Phone:504-865-8142
Practice Address - Fax:504-866-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA-82-152973747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty