Active NPI
Regional Healthcare-Lake Charles, LLC
Doing business as At Home Compassionate Care
- Personal Care Attendant
- Lake Charles, LA
National Provider Identifier
1013387612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- REGIONAL HEALTHCARE-LAKE CHARLES, LLC
- Doing business as
- At Home Compassionate Care
- Practice address
- 122 Arlington Dr
Lake Charles, LA 70605-5702 - Phone
- (337) 477-7083
- Fax
- (337) 478-4414
- NPI assigned
- Sep 25, 2015
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert E. Jeter
- Title
- Manager/Member
- Phone
- (972) 567-7419
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 6986 | LA | |
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
122 Arlington Dr
Lake Charles, LA 70605-5702
Mailing address
122 Arlington Drive
Lake Charles, LA 70605-8351
Phone (337) 477-7083
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014591 | Medicaid | LA | |
| 1009075 | Medicaid | LA |
Other names 1
- At Home Compassionate Care
National Provider Directory
National Provider Directory- Tax ID family
- At Home Compassionate Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba At Home Compassionate Care
- In Home Supportive Care Agency
- Lake Charles, LA
- NPI 1881058766
Locations
122 Arlington Dr
Lake Charles, LA 70605
Phone (337) 477-7083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1013387612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 ARLINGTON DRIVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706058351",
"telephone_number": "337-477-7083",
"fax_number": "337-417-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 ARLINGTON DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055702",
"telephone_number": "337-477-7083",
"fax_number": "337-478-4414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL HEALTHCARE-LAKE CHARLES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JETER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "MANAGER/MEMBER",
"authorized_official_telephone_number": "972-567-7419",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": "6986",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014591",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009075",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "At Home Compassionate Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Charles, LA
- David Wayne Regan, P.T.
- Freddie Ann Regan
- Tina Kadlubar Reggie
- Regional Healthcare Services - Southwest, LLC
- Regional Healthcare Services - Southwest, LLC
- Regional Healthcare-Lake Charles, LLC (At Home Compassionate Care)
- Regional Physicians Network
- Regional Physicians Network-Lake Charles Inc
- Rehab One, LLC
- Rehabilitation and Rheumatology Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.