LIFE AT HOME LLC (NPI# 1669687521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669687521 |
| Entity Type | Organization |
| Organization Name | LIFE AT HOME LLC |
| Practice Address |
736 North Pine Street Deridder LA 70634 |
| Practice Telephone | 3374622745 |
| Practice Fax Number | 3374622746 |
| Mailing Telephone | 3374622745 |
| Mailing Fax Number | 3374622746 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DAISY W HOLMES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3374622745 |
| Authorized Official Credential | MSN, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 12351 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1179299 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205041845 | Life At Home LLC | In Home Supportive Care | 736 North Pine Street, Deridder, LA 70634 | 2007-05-14 |
| 1285854455 | Life At Home LLC | Hospice Care, Community Based | 18638 Johnny B Hall Memorial Highway, Suite 4, Rosepine, LA 70659 | 2007-04-27 |
| 1659591444 | Life At Home LLC | In Home Supportive Care | 515 Washington Ave # A, Mansfield, LA 71052-3105 | 2007-04-26 |
| 1497843130 | Life At Home LLC | PACE Provider Organization | 701 Chester Pike, Sharon Hill, PA 19079-1406 | 2006-10-10 |
| 1609096874 | Life At Home LLC | In Home Supportive Care | 736 N Pine St, Deridder, LA 70634-2812 | 2007-04-27 |
| 1528288792 | Life At Home LLC | Hospice Care, Community Based | 18638 Johnny B Hall Memorial Highway, Suite 4, Rosepine, LA 70659 | 2007-04-27 |
| 1982824157 | Life At Home LLC | Hospice Care, Community Based | 736 N Pine St, Deridder, LA 70634-2812 | 2007-04-27 |
| 1164642336 | Life At Home LLC | In Home Supportive Care | 515 Washington Ave # A, Mansfield, LA 71052-3105 | 2007-04-27 |
| Street Address |
736 NORTH PINE STREET |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205041845 | Life At Home LLC | In Home Supportive Care | 736 North Pine Street, Deridder, LA 70634 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154400257 | Life @ Home, LLC | Hospice Care, Community Based | 736 N Pine St, Deridder, LA 70634-2812 | 2006-11-02 |
| 1982824157 | Life At Home LLC | Hospice Care, Community Based | 736 N Pine St, Deridder, LA 70634-2812 | 2007-04-27 |
| 1114141314 | Life At Home, LLC | Hospice Care, Community Based | 736 N Pine St, Deridder, LA 70634-2812 | 2007-04-12 |
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| 1740849405 | Heritage Hospice LLC | Hospice Care, Community Based | 1402 S Magnolia St Ste K, Hammond, LA 70403-5020 | 2019-06-06 |
| 1184181182 | Heart of Hospice LLC | Hospice Care, Community Based | 3829 Gilbert Dr, Shreveport, LA 71104-5005 | 2019-02-26 |
| 1255898763 | Saint Mark Hospice and Palliative Care LLC | Hospice Care, Community Based | Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 | 2019-02-21 |
| 1780148197 | Palliative Medicine of Acadiana | Hospice Care, Community Based | 803 Albertson Pkwy Ste B, Broussard, LA 70518-4349 | 2019-01-30 |
| 1912476615 | Heart of Hospice LLC | Hospice Care, Community Based | 2531 E 70th St, Shreveport, LA 71105-4001 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.