Provider Demographics
NPI:1710945563
Name:H & E HEALTHCARE, LLC
Entity Type:Organization
Organization Name:H & E HEALTHCARE, LLC
Other - Org Name:FLANNERY OAKS GUEST HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-709-1408
Mailing Address - Street 1:1642 N FLANNERY RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-2827
Mailing Address - Country:US
Mailing Address - Phone:225-275-6393
Mailing Address - Fax:225-275-6275
Practice Address - Street 1:1642 N FLANNERY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-2827
Practice Address - Country:US
Practice Address - Phone:225-275-6393
Practice Address - Fax:225-275-6275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA759314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA30689OtherBLUE CROSS BLUE SHIELD LA
LA1521230Medicaid
LA1521230Medicaid