Lakeland Healthcare Home & Community Based Waver
LBN: Lakeland Healthcare Home & Community Based Waver
Lakeland Healthcare Home & Community Based Waver is an health care organization with primary practice located at 105 Medical Center Dr Ste 206 , Slidell LA 70461-5538. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty.
Lakeland Healthcare Home & Community Based Waver can be contacted via phone (985) 781-7117, or through Morad, Mark Allen via phone (504) 891-8100.
Contact Information
Primary practice address
105 Medical Center Dr Ste 206
Slidell LA 70461-5538
Phone: (985) 781-7117
Fax: (504) 891-8156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | PCA 7025 | Louisiana |
Profile Details
| NPI number | 1669500633 |
|---|---|
| LBN Legal business name | Lakeland Healthcare Home & Community Based Waver |
| DBA Doing business as | |
| Authorized official | Morad, Mark Allen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669500633 | NPPES |
| Louisiana | MEDICAID | PCA 7025 |
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