Provider Demographics
NPI:1801033576
Name:LOUISIANA HOMECARE OF KENNER, LLC
Entity Type:Organization
Organization Name:LOUISIANA HOMECARE OF KENNER, LLC
Other - Org Name:OCHSNER HOME HEALTH OF NEW ORLEANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC / TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GACHASSIN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:337-233-1307
Mailing Address - Street 1:P.O. BOX 51266
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-1266
Mailing Address - Country:US
Mailing Address - Phone:337-233-1307
Mailing Address - Fax:337-233-5764
Practice Address - Street 1:3500 N CAUSEWAY BLVD STE 220
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3552
Practice Address - Country:US
Practice Address - Phone:504-372-6610
Practice Address - Fax:504-208-3582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA197203Medicare Oscar/Certification