Provider Demographics
NPI:1700824802
Name:P C A H INC
Entity Type:Organization
Organization Name:P C A H INC
Other - Org Name:ABIDE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRINEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-241-8823
Mailing Address - Street 1:6960 MARTIN DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126
Mailing Address - Country:US
Mailing Address - Phone:504-241-8823
Mailing Address - Fax:504-241-0495
Practice Address - Street 1:6960 MARTIN DRIVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-3349
Practice Address - Country:US
Practice Address - Phone:504-241-8823
Practice Address - Fax:504-241-0495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA889251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA197431Medicare Oscar/Certification