Provider Demographics
NPI:1609146687
Name:SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES, INC
Other - Org Name:SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ST. ROMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-359-6067
Mailing Address - Street 1:1713 WOODDALE BLVD STE 34
Mailing Address - Street 2:SUITE 34
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1570
Mailing Address - Country:US
Mailing Address - Phone:225-925-5244
Mailing Address - Fax:225-925-5947
Practice Address - Street 1:1713 WOODDALE BLVD STE 34
Practice Address - Street 2:SUITE 34
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1570
Practice Address - Country:US
Practice Address - Phone:225-925-5244
Practice Address - Fax:225-925-5947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781023253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2203781023OtherLICENSE NUMBER
LA1025861Medicaid