Provider Demographics
NPI:1932375433
Name:M.FLASCH HOMEBOUND ASSISTANCE, INC
Entity Type:Organization
Organization Name:M.FLASCH HOMEBOUND ASSISTANCE, INC
Other - Org Name:COMFORCARE SENIOR SERVICES OF GREATER BATON ROUGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLASCH
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MPA
Authorized Official - Phone:225-293-9797
Mailing Address - Street 1:5713 SUPERIOR DR
Mailing Address - Street 2:STE. B5
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8015
Mailing Address - Country:US
Mailing Address - Phone:225-293-9797
Mailing Address - Fax:225-293-9799
Practice Address - Street 1:5713 SUPERIOR DR
Practice Address - Street 2:STE. B5
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8015
Practice Address - Country:US
Practice Address - Phone:225-293-9797
Practice Address - Fax:225-293-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1032301251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1032301Medicaid