Provider Demographics
NPI:1215934120
Name:MONROE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:MONROE HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-448-0891
Mailing Address - Street 1:801 STUBBS AVE
Mailing Address - Street 2:SUITES E & F
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5585
Mailing Address - Country:US
Mailing Address - Phone:318-323-2246
Mailing Address - Fax:318-323-2247
Practice Address - Street 1:801 STUBBS AVE
Practice Address - Street 2:SUITES E & F
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5585
Practice Address - Country:US
Practice Address - Phone:318-323-2246
Practice Address - Fax:318-323-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA31251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1400319Medicaid
LA19-7031Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER