# EHO2002, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EASTHAVEN CARE AND REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942209531
- **Authorized official:** SHERRY MIX (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (225) 927-4290

## Contact information

- **Practice address:** 9660 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2619
- **Practice address phone:** (504) 244-9013
- **Practice address fax:** (504) 241-5330
- **Mailing address:** 3049 S SHERWOOD FOREST BLVD, SUITE 200, BATON ROUGE, LA 70816-2277
- **Mailing address phone:** (225) 927-4290
- **Mailing address fax:** (225) 927-5385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | LA | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510408 | — | LA |