Provider Demographics
NPI:1730190174
Name:ON CALL NURSING & ASSOCIATES, INC.
Entity type:Organization
Organization Name:ON CALL NURSING & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JEMISON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-263-5415
Mailing Address - Street 1:1820 BELLE CHASSE HWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7016
Mailing Address - Country:US
Mailing Address - Phone:504-263-5415
Mailing Address - Fax:504-263-5419
Practice Address - Street 1:1820 BELLE CHASSE HWY
Practice Address - Street 2:SUITE 207
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-7016
Practice Address - Country:US
Practice Address - Phone:504-263-5415
Practice Address - Fax:504-263-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA474251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1403679Medicaid
LA1403679Medicaid