| Organization Name: | IMMACULATE HEART OF MARY-PCS, LLC |
| NPI Number: | 1831477405 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENNETT WADE MORAIN (OWNER) |
| Mailing Address: | 226 Lyons Street Melville |
| State: | LA US |
| Postal Code: | 71353 |
| Phone Number: | 3376234100 |
| Fax Number: | 3376234102 |
| NPI Enumeration Date: | 07/29/2011 |
| NPI Last Update Date: | 07/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 372500000X |
| License Number: | PCA 12145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Chore Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |