NPIMap

Organization Active NPI

A-1 Bayou Health 2000, Inc.

Doing business as Allegiance Home Health of Southeast Louisiana

  • Home Health Agency
  • Gonzales, LA
National Provider Identifier
1083661854
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A-1 BAYOU HEALTH 2000, INC.
Doing business as
Allegiance Home Health of Southeast Louisiana
Practice address
826 W Hwy 30
Ste D
Gonzales, LA 70737-4852
Phone
(985) 348-3011
Fax
(985) 348-3015
NPI assigned
May 27, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rock Bordelon
Title
Owner
Phone
(318) 226-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

826 W Hwy 30
Ste D
Gonzales, LA 70737-4852

Mailing address

826 W Highway 30 Ste D
Gonzales, LA 70737-4852
Phone (985) 348-3011

Other names 1

  • ALLEGIANCE HOME HEALTH OF SOUTHEAST LOUISIANA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000205 LA Part A Provider - Home Health Agency 6204748163 Practice locations: Gonzales, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083661854. Details of each certification follow.

Home health agency certification: CCN 197480

Legal name
A-1 BAYOU HEALTH 2000, INC.
Doing business as
ALLEGIANCE HOME HEALTH OF SOUTHEAST LOUISIANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 8, 1992
Last certification
Dec 18, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 22, 1992 in LA
Enrollment address
826 W Highway 30
Ste D
Gonzales, LA 70737-4852

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allegiance Home Health of Southeast LouisianaCCN 197480 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Oct 8, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

10245 Siegen Ln
Ste D
Baton Rouge, LA 70810
Phone (225) 928-8989

10621 N Oak Hills Pkwy
Ste A1
Baton Rouge, LA 70810
Phone (225) 928-8989

8211 Summa Ave
Ste E
Baton Rouge, LA 70809
Phone (225) 928-3940

12489 Homeport Dr
Ste C
Maurepas, LA 70449
Phone (985) 348-3011

25420 Highway 1
Plaquemine, LA 70764
Phone (225) 754-4994

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rock Bordelon Individual 5% Or Greater Indirect Ownership Interest Oct 5, 2020 100%
Corporate Director Oct 5, 2020 100%
Allegiance Healthcare of Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Indirect Ownership Interest Jan 31, 2022 100%
Katie Bennett Individual Corporate OfficerDirector of Operations Jun 5, 2023
Allegiance Home Health of Southeast Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Direct Ownership Interest Oct 5, 2020 100%
Joseph Monsour Individual Corporate OfficerChief Executive Officer Oct 5, 2020
Operational/Managerial ControlChief Executive Officer Oct 5, 2020
Allegiance Home Health LLC Organization, Bossier City, LA LLC Operational/Managerial Control Oct 5, 2020 100%

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1083661854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W HIGHWAY 30 STE D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374852",
            "telephone_number": "985-348-3011",
            "fax_number": "985-348-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W HWY 30",
            "address_2": "STE D",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374852",
            "telephone_number": "985-348-3011",
            "fax_number": "985-348-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 BAYOU HEALTH 2000, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-226-8202"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGIANCE HOME HEALTH OF SOUTHEAST LOUISIANA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEGIANCE HOME HEALTH OF SOUTHEAST LOUISIANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.