Provider Demographics
NPI:1740352871
Name:NEW CENTURY HEALTH AIDS AND EQUIPMENT
Entity type:Organization
Organization Name:NEW CENTURY HEALTH AIDS AND EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGENE
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-582-1853
Mailing Address - Street 1:P.O. BOX 1701
Mailing Address - Street 2:800 FONTENOT
Mailing Address - City:IOWA
Mailing Address - State:LA
Mailing Address - Zip Code:70647
Mailing Address - Country:US
Mailing Address - Phone:337-582-1853
Mailing Address - Fax:337-582-1763
Practice Address - Street 1:800 FONTENOT
Practice Address - Street 2:
Practice Address - City:IOWA
Practice Address - State:LA
Practice Address - Zip Code:70647
Practice Address - Country:US
Practice Address - Phone:337-582-1853
Practice Address - Fax:337-582-1763
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW CENTURY HEALTH AIDS AND EQUIPMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-14
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1150134Medicaid
LAG5726OtherBCBS
LA1150134Medicaid
LA4640800001Medicare ID - Type Unspecified