Provider Demographics
NPI:1760578140
Name:LAGNIAPPE HOMECARE NORTHWEST LOUISIANA INC
Entity Type:Organization
Organization Name:LAGNIAPPE HOMECARE NORTHWEST LOUISIANA INC
Other - Org Name:HARMONY HOME HEALTH CARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TEDDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-628-4116
Mailing Address - Street 1:726 3RD ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-1200
Mailing Address - Country:US
Mailing Address - Phone:318-357-1990
Mailing Address - Fax:318-357-8941
Practice Address - Street 1:726 3RD ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-1200
Practice Address - Country:US
Practice Address - Phone:318-357-1990
Practice Address - Fax:318-357-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA881251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1403571Medicaid
LA197478Medicare ID - Type UnspecifiedPROVIDER NUMBER