Provider Demographics
NPI:1760488134
Name:HEALTHCARE DEVELOPMENT GROUP, LLC
Entity Type:Organization
Organization Name:HEALTHCARE DEVELOPMENT GROUP, LLC
Other - Org Name:TOTAL HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-834-8114
Mailing Address - Street 1:3211 N CAUSEWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4800
Mailing Address - Country:US
Mailing Address - Phone:504-834-8114
Mailing Address - Fax:504-834-8113
Practice Address - Street 1:3211 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4800
Practice Address - Country:US
Practice Address - Phone:504-834-8114
Practice Address - Fax:504-834-8113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1166987Medicaid
LA1166987Medicaid