Provider Demographics
NPI:1669843645
Name:REMINISCENCE HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:REMINISCENCE HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TRANCA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:FARVE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:225-439-4047
Mailing Address - Street 1:12400 JEFFERSON HWY
Mailing Address - Street 2:1315
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6210
Mailing Address - Country:US
Mailing Address - Phone:225-439-4047
Mailing Address - Fax:
Practice Address - Street 1:12400 JEFFERSON HWY
Practice Address - Street 2:1315
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6210
Practice Address - Country:US
Practice Address - Phone:225-439-4047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)