Provider Demographics
NPI:1750996583
Name:AHL HOME CARE LLC
Entity type:Organization
Organization Name:AHL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEROT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-288-5940
Mailing Address - Street 1:209 CANAL ST STE A
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3661
Mailing Address - Country:US
Mailing Address - Phone:504-780-8128
Mailing Address - Fax:504-780-8367
Practice Address - Street 1:1301 BROWNSWITCH RD STE E
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-1695
Practice Address - Country:US
Practice Address - Phone:985-288-5940
Practice Address - Fax:985-288-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care