Provider Demographics
NPI:1952147522
Name:LA HOME HEALTH LLC
Entity type:Organization
Organization Name:LA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-500-6712
Mailing Address - Street 1:232 W SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-1848
Mailing Address - Country:US
Mailing Address - Phone:203-500-6712
Mailing Address - Fax:
Practice Address - Street 1:4626 JAMESTOWN AVE STE 4
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3217
Practice Address - Country:US
Practice Address - Phone:225-925-1303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health