Provider Demographics
NPI:1750729760
Name:CAPITAL REGION HOME HEALTH INC
Entity type:Organization
Organization Name:CAPITAL REGION HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TROXCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-218-8009
Mailing Address - Street 1:9256 INTERLINE AVE
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 1:307 W MINNESOTA PARK RD STE 2
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-6148
Practice Address - Country:US
Practice Address - Phone:985-542-2010
Practice Address - Fax:985-542-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2372068Medicaid