Provider Demographics
NPI:1578065090
Name:AMERICA HEALTH CARE CAPITAL, LLC
Entity Type:Organization
Organization Name:AMERICA HEALTH CARE CAPITAL, LLC
Other - Org Name:FUTURE EXPECTATIONS COMMUNITY CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHLAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAYMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-209-0204
Mailing Address - Street 1:600 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINNFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71483-3227
Mailing Address - Country:US
Mailing Address - Phone:318-209-0204
Mailing Address - Fax:
Practice Address - Street 1:116 SOUTH DR STE 101
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5055
Practice Address - Country:US
Practice Address - Phone:318-209-0204
Practice Address - Fax:318-209-0204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1053498741Medicaid
LA=========Medicaid