Provider Demographics
NPI:1689029332
Name:ST PETER HOME CARE LLC
Entity Type:Organization
Organization Name:ST PETER HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-248-5300
Mailing Address - Street 1:7240 CROWDER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1922
Mailing Address - Country:US
Mailing Address - Phone:504-248-5300
Mailing Address - Fax:504-248-5311
Practice Address - Street 1:7240 CROWDER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1922
Practice Address - Country:US
Practice Address - Phone:504-248-5300
Practice Address - Fax:504-248-5311
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KLEINMAN AND KLEINMAN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781587251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA191641Medicare Oscar/Certification