Provider Demographics
NPI:1942968391
Name:VETERANS HOMECARE OF LA,. LLC
Entity Type:Organization
Organization Name:VETERANS HOMECARE OF LA,. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEESHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-806-0402
Mailing Address - Street 1:225 E. CORNERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737
Mailing Address - Country:US
Mailing Address - Phone:225-308-4480
Mailing Address - Fax:225-644-2338
Practice Address - Street 1:3303 RICHLAND AVE STE 240
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4313
Practice Address - Country:US
Practice Address - Phone:504-265-9550
Practice Address - Fax:504-455-6734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care