Aging Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

420 Issued in LA

Legal business name

AGING CARE HOME HEALTH, INC.

Practice address

101 N 2ND St
Ste 101
West Monroe, LA 71291-3253

Phone

(318) 324-9076

Fax

(318) 324-9088

NPI assigned

May 24, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Otis E Davis

Title

Chief Financial Officer

Phone

(318) 324-9076

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902809965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 2ND ST",
            "address_2": "STE 101",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913253",
            "telephone_number": "318-324-9076",
            "fax_number": "318-324-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 2ND ST",
            "address_2": "STE 101",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913253",
            "telephone_number": "318-324-9076",
            "fax_number": "318-324-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-324-9076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.