Organization Active NPI

Egan at Home LLC

  • In Home Supportive Care Agency
  • Metairie, LA
National Provider Identifier
1033839733
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EGAN AT HOME LLC
Practice address
3621 Ridgelake Dr Ste 300
Metairie, LA 70002-1739
Phone
(504) 834-9996
Fax
(504) 399-9902
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Patrick Lasko
Title
Ceo
Phone
(504) 644-1961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3621 Ridgelake Dr Ste 300
Metairie, LA 70002-1739

Mailing address

3621 Ridgelake Dr Ste 300
Metairie, LA 70002-1739
Phone (504) 834-9996

Other identifiers 2

IdentifierTypeStateIssuer
1461393MedicaidLA
1461636MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Egan at Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1033839733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 RIDGELAKE DR STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021739",
            "telephone_number": "504-834-9996",
            "fax_number": "504-399-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 RIDGELAKE DR STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021739",
            "telephone_number": "504-834-9996",
            "fax_number": "504-399-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGAN AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "LASKO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-644-1961"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461393",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461636",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.