Provider Demographics
NPI:1578560843
Name:TOTAL HOME CARE
Entity Type:Organization
Organization Name:TOTAL HOME CARE
Other - Org Name:TOTAL HOME HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:E
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-340-8888
Mailing Address - Street 1:444 REALTY DR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7749
Mailing Address - Country:US
Mailing Address - Phone:504-340-8888
Mailing Address - Fax:504-340-2277
Practice Address - Street 1:444 REALTY DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7749
Practice Address - Country:US
Practice Address - Phone:504-340-8888
Practice Address - Fax:504-340-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA506251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA506OtherHHA LICSENSE#
LA1403890Medicaid
LA19-7508Medicare ID - Type UnspecifiedHOME HEALTH