Individual ProviderDecarlos HolmesCase Manager/Care CoordinatorOther Service ProvidersPractice Address1995 Gentilly Blvd Ste C400, New Orleans, LA 70119-1700(318) 957-9644PECOS EnrollmentBased on the most recent information from CMS, provider Decarlos Holmes 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 yesterday at 9:43 AM.Profile DetailsProvider ID1922463124Provider TypeIndividualFull NameHolmes, DecarlosCredentialMHPGenderMaleSole ProprietorYesEnumeration Date12/15/2015Last Updated4/19/2023Contact InformationPractice LocationPractice Address1995 Gentilly Blvd Ste C400, New Orleans, LA 70119-1700Phone(318) 957-9644FaxUnlisted FaxMailing LocationMailing Address327 Lafitte St, Bridge City, LA 70094-3327Phone(318) 957-9644FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer