Provider Demographics
NPI:1689838039
Name:A GOOD HOME CARE SERVICE, LLC
Entity Type:Organization
Organization Name:A GOOD HOME CARE SERVICE, LLC
Other - Org Name:A GOOD HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:AKERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:318-688-0832
Mailing Address - Street 1:6007 FINANCIAL PLZ
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-2655
Mailing Address - Country:US
Mailing Address - Phone:318-688-0832
Mailing Address - Fax:318-688-0834
Practice Address - Street 1:6007 FINANCIAL PLZ
Practice Address - Street 2:SUITE 103
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2699
Practice Address - Country:US
Practice Address - Phone:318-688-0832
Practice Address - Fax:318-688-0834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health