Provider Demographics
NPI:1902424211
Name:COMMUNITY HOME HEALTH OF ACADIANA LLC
Entity Type:Organization
Organization Name:COMMUNITY HOME HEALTH OF ACADIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-806-9190
Mailing Address - Street 1:5750 JOHNSTON ST STE 210
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5334
Mailing Address - Country:US
Mailing Address - Phone:337-806-9191
Mailing Address - Fax:337-806-9186
Practice Address - Street 1:5750 JOHNSTON ST STE 210
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5334
Practice Address - Country:US
Practice Address - Phone:337-806-9191
Practice Address - Fax:337-806-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health