Provider Demographics
NPI:1245539501
Name:NOLA CARES HOME CARE SERVICES
Entity type:Organization
Organization Name:NOLA CARES HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KENISHA
Authorized Official - Middle Name:CARLYN
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:504-250-8136
Mailing Address - Street 1:3609 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4210
Mailing Address - Country:US
Mailing Address - Phone:504-250-8136
Mailing Address - Fax:
Practice Address - Street 1:3609 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-4210
Practice Address - Country:US
Practice Address - Phone:504-250-8136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health