Lil Lus Booming Enterprise Inc
Organization Active NPI Home Health Agency · Violet, LA
NPI 1154549442 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154549442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- LIC 10033 (LA)
- Legal business name
- LIL LUS BOOMING ENTERPRISE INC
- Practice address
- 6201 E Saint Bernard Hwy
Suite E
Violet, LA 70092-3458 - Phone
- (504) 682-2440
- Fax
- (504) 682-6668
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Barbara Manuel
- Title
- President
- Phone
- (504) 682-2440
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Lil Lus Booming Enterprise Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LIC 10033 | LA | Yes |
Addresses
Primary practice location
6201 E Saint Bernard Hwy
Suite E
Violet, LA 70092-3458
Mailing address
6201 E Saint Bernard Hwy
Suite E
Violet, LA 70092-3458
Phone (504) 682-2440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1464449 | Medicaid | LA |
Other providers in Violet, LA
- Cody Herbert Hill
- Quanisha Isidore
- Kevalenette Johnson
- Tamara Jones
- Brandy Lee Kellum
- Lil Lus Booming Enterprise Inc
- Lil Lus Booming Enterprise Inc
- Lil Lus Booming Enterprise, Inc
- Made, LLC
- Cortney A McLellan
All providers in Violet, LA · Home Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.