Individual ProviderLenita HargroveCase Manager/Care CoordinatorOther Service ProvidersPractice Address1417 W Morris Ave, Suite E, Hammond, LA 70403(985) 542-9949(281) 813-5274PECOS EnrollmentBased on the most recent information from CMS, provider Lenita Hargrove 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 8 days ago.Profile DetailsProvider ID1962874420Provider TypeIndividualFull NameHargrove, LenitaTitleMissCredentialRSWGenderFemaleSole ProprietorYesEnumeration Date10/23/2015Last Updated7/9/2018Contact InformationPractice LocationPractice Address1417 W Morris Ave, Suite E, Hammond, LA 70403Phone(985) 542-9949FaxUnlisted FaxMailing LocationMailing Address111 Pineridge St W, Mandeville, LA 70448-7542Phone(281) 813-5274Fax(225) 291-9692Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11110LouisianaProvider IdentifiersIDDescriptionIssuerID600751961DescriptionMedicaidIssuerUnlistedLouisiana