Provider Demographics
NPI:1053438630
Name:CAREGIVERS PERSONAL ASSISTANCE LLC
Entity type:Organization
Organization Name:CAREGIVERS PERSONAL ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARMELLA
Authorized Official - Middle Name:DESHONA
Authorized Official - Last Name:MINOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:985-580-2165
Mailing Address - Street 1:406 BOYKIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4010
Mailing Address - Country:US
Mailing Address - Phone:985-580-2165
Mailing Address - Fax:985-223-4424
Practice Address - Street 1:406 BOYKIN ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4010
Practice Address - Country:US
Practice Address - Phone:985-580-2165
Practice Address - Fax:985-223-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty