Provider Demographics
NPI: | 1821164062 |
---|---|
Name: | HAYES HEALTHCARE SERVICES |
Entity Type: | Organization |
Organization Name: | HAYES HEALTHCARE SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | THERAPY DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HAYES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 318-419-8176 |
Mailing Address - Street 1: | 208 SWEETWATER RIM |
Mailing Address - Street 2: | |
Mailing Address - City: | PINEVILLE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 71360-5691 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 208 SWEETWATER RIM |
Practice Address - Street 2: | |
Practice Address - City: | PINEVILLE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 71360-5691 |
Practice Address - Country: | US |
Practice Address - Phone: | 888-735-9403 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-28 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
LA | 101YM0800X, 104100000X, 163W00000X, 224Z00000X, 225100000X, 2251P0200X, 225200000X, 225X00000X, 225XP0200X, 2355S0801X | |
235Z00000X | ||
LA | 4768 | 235Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Not Answered | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
Not Answered | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
Not Answered | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
Not Answered | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
Not Answered | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
Not Answered | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
Not Answered | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
Not Answered | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
Not Answered | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
Not Answered | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
Not Answered | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |