Provider Demographics
NPI:1386296051
Name:ST HELENA COUNCIL ON AGING INC
Entity type:Organization
Organization Name:ST HELENA COUNCIL ON AGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:225-222-6040
Mailing Address - Street 1:48 KENDRICK ST. ROOM 201 P.O BOX 324
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:LA
Mailing Address - Zip Code:70441
Mailing Address - Country:US
Mailing Address - Phone:225-222-6040
Mailing Address - Fax:225-222-4924
Practice Address - Street 1:48 KENDRICK ST. ROOM 201
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:LA
Practice Address - Zip Code:70441
Practice Address - Country:US
Practice Address - Phone:225-222-6070
Practice Address - Fax:225-222-4924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)