Provider Demographics
NPI:1134219017
Name:ALLIED HOME CARE INC
Entity type:Organization
Organization Name:ALLIED HOME CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:D
Authorized Official - Last Name:DORE'
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-783-0000
Mailing Address - Street 1:220 B W MILL ST
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-5659
Mailing Address - Country:US
Mailing Address - Phone:337-783-0000
Mailing Address - Fax:337-783-0060
Practice Address - Street 1:220 B W MILL ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-5659
Practice Address - Country:US
Practice Address - Phone:337-783-0000
Practice Address - Fax:337-783-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203782388251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1402761Medicaid
LA197274Medicare Oscar/Certification