Provider Demographics
NPI:1689170136
Name:GREATER LIVING CARE CENTER
Entity Type:Organization
Organization Name:GREATER LIVING CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERNIKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:504-307-4039
Mailing Address - Street 1:395 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:RESERVE
Mailing Address - State:LA
Mailing Address - Zip Code:70084-5210
Mailing Address - Country:US
Mailing Address - Phone:504-307-4039
Mailing Address - Fax:
Practice Address - Street 1:395 E 22ND ST
Practice Address - Street 2:
Practice Address - City:RESERVE
Practice Address - State:LA
Practice Address - Zip Code:70084-5210
Practice Address - Country:US
Practice Address - Phone:504-307-4039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========OtherHOME HEALTH CARE