Provider Demographics
NPI:1457756678
Name:THE LOCKE GROUP INC DBA HOME INSTEAD
Entity Type:Organization
Organization Name:THE LOCKE GROUP INC DBA HOME INSTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-741-9898
Mailing Address - Street 1:7600 FERN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-5672
Mailing Address - Country:US
Mailing Address - Phone:318-741-9898
Mailing Address - Fax:318-741-6986
Practice Address - Street 1:7600 FERN AVE STE 400
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5672
Practice Address - Country:US
Practice Address - Phone:318-741-9898
Practice Address - Fax:318-741-6986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781012253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care