Provider Demographics
NPI:1063552289
Name:UNITED HOME CARE SERVICES-SW, INC.
Entity type:Organization
Organization Name:UNITED HOME CARE SERVICES-SW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/R MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-398-9660
Mailing Address - Street 1:8120 KELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4843
Mailing Address - Country:US
Mailing Address - Phone:225-292-8206
Mailing Address - Fax:225-292-4409
Practice Address - Street 1:115 WILLIAMSBURG ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5719
Practice Address - Country:US
Practice Address - Phone:337-439-7879
Practice Address - Fax:337-439-7918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA437251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1403423Medicaid
LA1403423Medicaid