Provider Demographics
NPI:1699050955
Name:BATON ROUGE ELDERCARE LLC.
Entity type:Organization
Organization Name:BATON ROUGE ELDERCARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BRAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-389-6715
Mailing Address - Street 1:8241 SUMMA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3735
Mailing Address - Country:US
Mailing Address - Phone:225-389-6715
Mailing Address - Fax:225-389-6717
Practice Address - Street 1:8241 SUMMA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3735
Practice Address - Country:US
Practice Address - Phone:225-389-6715
Practice Address - Fax:225-389-6717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 15511253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care