Provider Demographics
NPI:1669632584
Name:SEASONS HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:SEASONS HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-906-2301
Mailing Address - Street 1:311 E AIRPORT AVE STE D
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4840
Mailing Address - Country:US
Mailing Address - Phone:225-906-2301
Mailing Address - Fax:225-218-6537
Practice Address - Street 1:311 E AIRPORT AVE STE D
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4840
Practice Address - Country:US
Practice Address - Phone:225-906-2301
Practice Address - Fax:225-218-6537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 15049251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========OtherTAX IDENTIFICATION NUMBER