Provider Demographics
NPI:1982844049
Name:HOMECARE ASSISTANCE, LLC
Entity Type:Organization
Organization Name:HOMECARE ASSISTANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HANDY
Authorized Official - Suffix:
Authorized Official - Credentials:QMRP
Authorized Official - Phone:337-577-8460
Mailing Address - Street 1:800 S LEWIS ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4854
Mailing Address - Country:US
Mailing Address - Phone:337-256-8642
Mailing Address - Fax:337-256-8858
Practice Address - Street 1:800 S LEWIS ST
Practice Address - Street 2:SUITE 207
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4854
Practice Address - Country:US
Practice Address - Phone:337-256-8642
Practice Address - Fax:337-256-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPC0007864253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========Medicaid