Provider Demographics
NPI:1871590091
Name:HOME HEALTH SERVICES OF ALEXANDRIA, INC.
Entity type:Organization
Organization Name:HOME HEALTH SERVICES OF ALEXANDRIA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENDT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-448-0891
Mailing Address - Street 1:1004 CALAIS CIR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2307
Mailing Address - Country:US
Mailing Address - Phone:318-448-8132
Mailing Address - Fax:318-448-8367
Practice Address - Street 1:1004 CALAIS CIR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2307
Practice Address - Country:US
Practice Address - Phone:318-448-8132
Practice Address - Fax:318-448-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1400181Medicaid
LA1400181Medicaid