Provider Demographics
NPI:1891839577
Name:BASIC HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:BASIC HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PECANTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-560-0011
Mailing Address - Street 1:902 JEFFERSON TER
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-5700
Mailing Address - Country:US
Mailing Address - Phone:337-560-0011
Mailing Address - Fax:337-560-0811
Practice Address - Street 1:902 JEFFERSON TER
Practice Address - Street 2:SUITE D
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-5700
Practice Address - Country:US
Practice Address - Phone:337-560-0011
Practice Address - Fax:337-560-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA10602251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1176494Medicaid