Individual ProviderJasmine SamuelCase Manager/Care CoordinatorOther Service ProvidersPractice Address4919 Canal St, New Orleans, LA 70119(504) 483-9883PECOS EnrollmentBased on the most recent information from CMS, provider Jasmine Samuel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134775133Provider TypeIndividualFull NameSamuel, JasmineGenderFemaleSole ProprietorNoEnumeration Date8/15/2019Last Updated8/15/2019Contact InformationPractice LocationPractice Address4919 Canal St, New Orleans, LA 70119Phone(504) 483-9883FaxUnlisted FaxMailing LocationMailing Address4919 Canal St, New Orleans, LA 70119-5848Phone(504) 483-9883FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicense15583Louisiana