Provider Demographics
NPI:1922321199
Name:PAYNE'S IN-HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:PAYNE'S IN-HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-444-4131
Mailing Address - Street 1:PO BOX 2703
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70069-2703
Mailing Address - Country:US
Mailing Address - Phone:504-444-4131
Mailing Address - Fax:504-866-4714
Practice Address - Street 1:127 MARIE ST
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-4175
Practice Address - Country:US
Practice Address - Phone:504-444-4131
Practice Address - Fax:504-866-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALTC-24-15297372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LALTC-15297Medicaid