Organization
LA BODEGA INC
Active
Other names
AmeraCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON R MIZE (OWNER/PRESIDENT)
(985) 635-6900
Entity
Organization
Contact information
Practice address
1579 HIGHWAY 51, PONCHATOULA, LA 70454-6374
(985) 635-6900
(985) 635-6936
Mailing address
327 W 21ST AVE, COVINGTON, LA 70433-3153
(985) 635-6900
(985) 635-6936
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
922
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1401439
—
LA
Enumeration date
10/26/2006
Last updated
04/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us