National Provider Identifier Database

MARTIN FAMILY SUPPORT SERVICES
Hospice Care, Community Based

Contact Information

MARTIN FAMILY SUPPORT SERVICES
248 BLANKENSHIP ROAD
PLAIN DEALING, LA  71064
Phone: 318-326-4623
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Home Health 251E00000X
Personal Care Attendant 3747P1801X
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

* Indicates primary specialty

NPI Profile & details for MARTIN FAMILY SUPPORT SERVICES

NPI Number 1851547566
Legal business name
LBN		 MARTIN FAMILY SUPPORT SERVICES
Authorized official MAPLE MARTIN - (PROGRAM MANAGER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/13/2008
Last updated 01/07/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 15079
  • LA License #: 20086
  • LA Medicaid: 0007762
  • LA Medicaid: 0007764
  • LA Other: 15079 CHILDREN'S CHOICE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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