Provider Demographics
NPI:1831717149
Name:COMMUNITY HOME HEALTH OF BATON ROUGE LLC
Entity type:Organization
Organization Name:COMMUNITY HOME HEALTH OF BATON ROUGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-806-9190
Mailing Address - Street 1:5750 JOHNSTON ST STE 204
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5334
Mailing Address - Country:US
Mailing Address - Phone:337-806-9190
Mailing Address - Fax:
Practice Address - Street 1:1026 E WORTHY ST STE D
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4300
Practice Address - Country:US
Practice Address - Phone:225-465-1500
Practice Address - Fax:225-960-6699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health