Organization Active NPI

Regional Healthcare-Lake Charles, LLC

Doing business as At Home Compassionate Care

  • Personal Care Attendant
  • Lake Charles, LA
National Provider Identifier
1013387612
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6986 LA
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1014591MedicaidLA
1009075MedicaidLA

Other names 1

  • At Home Compassionate Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Compassionate Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.