Provider Demographics
NPI:1538174347
Name:LCMC HEALTH HOLDINGS INC
Entity type:Organization
Organization Name:LCMC HEALTH HOLDINGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:REESE
Authorized Official - Last Name:MCALISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-503-6783
Mailing Address - Street 1:4200 HOUMA BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-0000
Mailing Address - Country:US
Mailing Address - Phone:504-503-4804
Mailing Address - Fax:504-503-6046
Practice Address - Street 1:4200 HOUMA BOULEVARD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-0000
Practice Address - Country:US
Practice Address - Phone:504-503-4804
Practice Address - Fax:504-503-6046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-11-25
Deactivation Date:2017-01-09
Deactivation Code:
Reactivation Date:2017-01-26
Provider Licenses
StateLicense IDTaxonomies
LA122273R00000X, 273Y00000X, 314000000X, 282N00000X
LA2672311500000X
LA9110018341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1705055Medicaid
LA1735183Medicaid
LA1430234Medicaid
LA1474886Medicaid
LA1474886Medicaid
LA19T146Medicare Oscar/Certification
LA1705055Medicaid
LA195199Medicare Oscar/Certification
LA190146Medicare PIN
LA19S146Medicare Oscar/Certification
LA1735183Medicaid
LA19S146Medicare PIN