Immaculate Heart of Mary-PCS, LLC
Organization Active NPI Personal Care Attendant · Morganza, LA
NPI 1891993499 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1891993499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- PCA 7252 (LA)
- Legal business name
- IMMACULATE HEART OF MARY-PCS, LLC
- Practice address
- 241 N la 1
Morganza, LA 70759-3457 - Phone
- (225) 694-3312
- Fax
- (225) 694-0337
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Bennett Morain
- Title
- Owner
- Phone
- (225) 694-3312
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Immaculate Heart of Mary-PCS LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant |
3747P1801X | PCA 7252 | LA | Yes |
Addresses
Primary practice location
241 N la 1
Morganza, LA 70759-3457
Mailing address
PO Box 505
Morganza, LA 70759-0505
Phone (225) 694-3312
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011240 | Medicaid | LA |
Other providers in Morganza, LA
- Dana Hammond
- Immaculate Heart of Mary
- Immaculate Heart of Mary
- Immaculate Heart of Mary-PCS LLC
- Jessica H Langlois
- Penny R Leonards
- Nation Care Transportation LLC
- Pointe Coupee Fire Protection District 2
All providers in Morganza, LA · Personal Care Attendant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. 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.