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Contact Information

A FIRST NAME BASIS HOME CARE
803 W BAYOU PINES DR
SUITE C
LAKE CHARLES, LA70601-7096
 Phone: 337-990-0300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for A FIRST NAME BASIS HOME CARE

NPI Number 1922470061
LBN Legal business name A FIRST NAME BASIS HOME CARE
Authorized official JAKE FACKRELL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2015
Last updated 10/28/2015 - About 11 years ago
Identifiers
LA License # 2203782459
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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