Provider Demographics
NPI:1639617335
Name:A1 ABSOLUTE BEST CARE LLC
Entity type:Organization
Organization Name:A1 ABSOLUTE BEST CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-368-0206
Mailing Address - Street 1:401 WHITNEY AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2558
Mailing Address - Country:US
Mailing Address - Phone:504-368-0206
Mailing Address - Fax:504-368-6338
Practice Address - Street 1:401 WHITNEY AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2558
Practice Address - Country:US
Practice Address - Phone:504-368-0206
Practice Address - Fax:504-368-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7376A251C00000X
LA6892251S00000X
LA7376251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1544281Medicaid
LA1582620Medicaid
LA1544302Medicaid
LA1582638Medicaid
LA2380877Medicaid