Cassandra Denise Braxton – Home Health Agency

Key facts

NPI: 1649944356
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Agency 251E00000X
License: 008683583 (LA)
Practice address: 705 Fisher LN
Kentwood, LA 70444
Phone: (985) 474-6793
NPI assigned: Aug 5, 2021
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Braxtons Home Health LLC Home Health Aide · Kentwood, LA · NPI 1649945858

NPD

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
008683583	LA	MD	Home Health Agency

Practice roles

Organization	Specialty	Status	New patients
Braxtons Home Health LLC		Current since Aug 15, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X	008683583	LA	Yes

Addresses

Primary practice location

705 Fisher LN
Kentwood, LA 70444

Mailing address

1413 Avenue L
Kentwood, LA 70444-3038
Phone (985) 474-6793

Other identifiers

Identifier	Type	State	Issuer
008430288	Medicaid	LA

Other providers in Kentwood, LA

All providers in Kentwood, 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 5, 2021. 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.

Verify at the official NPI Registry.