Provider Demographics
NPI:1609879923
Name:HOME CARE CONNECTIONS, INC.
Entity Type:Organization
Organization Name:HOME CARE CONNECTIONS, INC.
Other - Org Name:HOME CARE CONNECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:C
Authorized Official - Last Name:NOVEMBER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:337-233-1307
Mailing Address - Street 1:420 W PINHOOK RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2131
Mailing Address - Country:US
Mailing Address - Phone:337-233-1307
Mailing Address - Fax:337-233-5764
Practice Address - Street 1:1012 GARNER FIELD RD
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4810
Practice Address - Country:US
Practice Address - Phone:830-591-0770
Practice Address - Fax:830-591-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008321251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158665301Medicaid
TX679303OtherCIGNA
TX679303OtherTEXAS MUNICIPAL LEAGUE
TX679303OtherHEALTHSMART
TX679303OtherBLUE CROSS - BLUE SHIELD
TX679303OtherUNITED HEALTH CARE
TX679303OtherHUMANA
TX=========OtherTEACHER RETIREMENT SERVIC
TX158665301Medicaid
TX679303OtherHUMANA