Provider Demographics
NPI:1639344450
Name:INTERACTIVEPATIENTCAREATTENDANTSERVICES,LLC
Entity Type:Organization
Organization Name:INTERACTIVEPATIENTCAREATTENDANTSERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:A
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-457-2181
Mailing Address - Street 1:4415 SHORES DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6804
Mailing Address - Country:US
Mailing Address - Phone:504-457-2181
Mailing Address - Fax:504-457-2183
Practice Address - Street 1:4415 SHORES DR
Practice Address - Street 2:SUITE 208
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6804
Practice Address - Country:US
Practice Address - Phone:504-457-2181
Practice Address - Fax:504-457-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health