Provider Demographics
NPI:1245030808
Name:LOUISA'S HOME HEALTHCARE
Entity type:Organization
Organization Name:LOUISA'S HOME HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC,LCPC
Authorized Official - Phone:419-934-5988
Mailing Address - Street 1:11051 AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:FOSTORIA
Mailing Address - State:OH
Mailing Address - Zip Code:44830-3309
Mailing Address - Country:US
Mailing Address - Phone:419-934-5988
Mailing Address - Fax:419-934-5988
Practice Address - Street 1:311 E 14TH ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2421
Practice Address - Country:US
Practice Address - Phone:419-934-5988
Practice Address - Fax:419-934-5988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1699012898Medicaid