Aloe Vera

Organization Active NPI Home Health Agency · Pearl River, LA

NPI 1477760171 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1477760171
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
PCA10891 (LA)
Legal business name
ALOE VERA
Practice address
62390 John Smith Rd
Pearl River, LA 70452-3334
Phone
(985) 863-3212
NPI assigned
May 16, 2007
Organization subpart
No

Authorized official

Name
Mr. Thomas Jefferson Smith Jr.
Title
Ceo
Phone
(985) 863-5559

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Aloe Vera (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA10891 LA Yes

Addresses

Primary practice location

62390 John Smith Rd
Pearl River, LA 70452-3334

Mailing address

62390 John Smith Rd
Pearl River, LA 70452-3334
Phone (985) 863-3212

Other identifiers

IdentifierTypeStateIssuer
1712469MedicaidLA

Other providers in Pearl River, LA

All providers in Pearl River, LA · Home Health Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.