A-1 Bayou Health 2000, Inc.
Organization Active NPI Home Health Agency · Gonzales, LA
NPI 1083661854 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1083661854
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- A-1 BAYOU HEALTH 2000, INC.
- 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
- Organization subpart
- No
Authorized official
- Name
- Rock Bordelon
- Title
- Owner
- Phone
- (318) 226-8202
Facilities with the same owner 12
Affiliated clinicians 4
-
Paul Cary Aguillard, M.D.
-
Gertrude Gboloo, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Allegiance Home Health of Southeast Louisiana
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Oct 8, 1992
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
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
- Corporation · Proprietary
- Incorporated
- Sep 22, 1992 in LA
- Enrollment address
- 826 W Highway 30
Ste D
Gonzales, LA 70737-4852
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Rock Bordelon |
5% Or Greater Indirect Ownership Interest | Oct 5, 2020 | 100% |
| Corporate Director | Oct 5, 2020 | 100% | |
| Allegiance Healthcare of Louisiana, LLC |
5% Or Greater Indirect Ownership Interest | Jan 31, 2022 | 100% |
| Katie Bennett |
Corporate Officer |
Jun 5, 2023 | |
| Allegiance Home Health of Southeast Louisiana, LLC |
5% Or Greater Direct Ownership Interest | Oct 5, 2020 | 100% |
| Joseph Monsour |
Corporate Officer |
Oct 5, 2020 | |
| Operational/Managerial Control |
Oct 5, 2020 | ||
| Allegiance Home Health LLC |
Operational/Managerial Control | Oct 5, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051024000205 | LA | Part a Provider - Home Health Agency | 6204748163 | Practice locations: Gonzales, LA |
National Provider Directory
Locations
8211 Summa Ave
Ste E
Baton Rouge, LA 70809
Phone (225) 928-3940
10621 N Oak Hills Pkwy
Ste A1
Baton Rouge, LA 70810
Phone (225) 928-8989
8704 Jefferson Hwy
Ste C
Baton Rouge, LA 70809
Phone (225) 928-3940
10245 Siegen Ln
Ste D
Baton Rouge, LA 70810
Phone (225) 928-8989
826 W Highway 30
Ste D
Gonzales, LA 70737
Phone (985) 348-3011
826 W Highway 30
Ste B
Gonzales, LA 70737
Phone (225) 390-1238
12489 Homeport Dr
Ste C
Maurepas, LA 70449
Phone (985) 348-3011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1403962 | Medicaid | LA | |
| 190034432Z | Other | LA | BCBS OF LOUISIANA |
Other names
- ALLEGIANCE HOME HEALTH OF SOUTHEAST LOUISIANA
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- Abilities Progressive Learning Solutions LLC
- Niksad Abraham
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All providers in Gonzales, LA · Home Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.