Provider Demographics
NPI:1134161573
Name:AUDUBON OF NEW ORLEANS HOME HEALTH INC
Entity type:Organization
Organization Name:AUDUBON OF NEW ORLEANS HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:WOODROW
Authorized Official - Last Name:BANKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:225-278-0324
Mailing Address - Street 1:9256 INTERLINE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1907
Mailing Address - Country:US
Mailing Address - Phone:225-218-8009
Mailing Address - Fax:225-237-1170
Practice Address - Street 1:3621 RIDGELAKE DR STE 307
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1739
Practice Address - Country:US
Practice Address - Phone:504-356-4663
Practice Address - Fax:504-249-3120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA431251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1403261Medicaid
LA2203786554OtherSTATE LICENSE