Provider Demographics
NPI:1841659687
Name:YOUR LOVED ONE'S HOME HEALTHCARE SERVICES LLC,
Entity type:Organization
Organization Name:YOUR LOVED ONE'S HOME HEALTHCARE SERVICES LLC,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MS
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-344-4887
Mailing Address - Street 1:1615 POYDRAS ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-1254
Mailing Address - Country:US
Mailing Address - Phone:504-648-6700
Mailing Address - Fax:504-648-6701
Practice Address - Street 1:1615 POYDRAS ST
Practice Address - Street 2:SUITE 900
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1254
Practice Address - Country:US
Practice Address - Phone:504-648-6700
Practice Address - Fax:504-648-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA114832251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health