1912239674 NPI number — PAYNE IN-HOME CARE SERVICES. INC

Table of content: (NPI 1912239674)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912239674 NPI number — PAYNE IN-HOME CARE SERVICES. INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAYNE IN-HOME CARE SERVICES. INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912239674
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2703
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA PLACE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70069-2703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-444-4131
Provider Business Mailing Address Fax Number:
504-866-4714

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 MARIE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA PLACE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70068-4175
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-444-4131
Provider Business Practice Location Address Fax Number:
504-866-4714
Provider Enumeration Date:
02/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
PAYNE
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER/EXEC DIRECTOR
Authorized Official Telephone Number:
504-444-4131

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  SIL-20232 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: SIL-20232 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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