# BEAUREGARD MEMORIAL HOSPITAL HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beauregard Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225288566
- **Authorized official:** NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 1877 HIGHWAY 190 W BLDG A, DERIDDER, LA 70634-6005
- **Practice address phone:** (337) 462-7188
- **Practice address fax:** (337) 462-7455
- **Mailing address:** P.O. BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 09/23/2020