Jemena Bernadette Kahealani Leopoldo-Hodge

Individual provider Active NPI Personal Care Attendant · Plain Dealing, LA

NPI 1184374282 · NPPES record last updated Mar 24, 2022

Key facts

NPI
1184374282
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
246 Blankenship Rd
Plain Dealing, LA 71064-4619
Phone
(318) 326-4623
Fax
(318) 326-4051
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X Yes

Addresses

Primary practice location

246 Blankenship Rd
Plain Dealing, LA 71064-4619

Mailing address

PO Box 829
Vivian, LA 71082-0829
Phone (318) 464-3687

Other providers in Plain Dealing, LA

All providers in Plain Dealing, LA · Personal Care Attendant in Louisiana

Sources for this page

Verify at the official NPI Registry.