Provider Demographics
NPI:1194713206
Name:MH3F HEALTHCARE MANAGEMENT, LLC
Entity type:Organization
Organization Name:MH3F HEALTHCARE MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-468-0347
Mailing Address - Street 1:906 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:MAMOU
Mailing Address - State:LA
Mailing Address - Zip Code:70554-2215
Mailing Address - Country:US
Mailing Address - Phone:337-468-0347
Mailing Address - Fax:337-468-3389
Practice Address - Street 1:906 CHERRY ST
Practice Address - Street 2:
Practice Address - City:MAMOU
Practice Address - State:LA
Practice Address - Zip Code:70554-2215
Practice Address - Country:US
Practice Address - Phone:337-468-0347
Practice Address - Fax:337-468-3389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA890314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1510840Medicaid
LA1510840Medicaid
5458280001Medicare NSC
LA1510840Medicaid