Provider Demographics
NPI:1164644928
Name:JOURNEY HOSPICE OF HOUMA, LLC
Entity type:Organization
Organization Name:JOURNEY HOSPICE OF HOUMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-937-3030
Mailing Address - Street 1:1340 W TUNNEL BLVD
Mailing Address - Street 2:SUITE 540
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-2801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1340 W TUNNEL BLVD
Practice Address - Street 2:SUITE 540
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2801
Practice Address - Country:US
Practice Address - Phone:985-223-1865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based