Organization Active NPI

Bluebonnet Healthcare, Inc.

  • Home Health Agency
  • Covington, LA
National Provider Identifier
1124843560
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLUEBONNET HEALTHCARE, INC.
Practice address
109 Northpark Blvd Ste 310
Covington, LA 70433-5094
Phone
(985) 732-4892
Fax
(985) 732-1878
NPI assigned
Nov 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Richard Thomas Daspit
Title
President
Phone
(225) 906-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

109 Northpark Blvd Ste 310
Covington, LA 70433-5094

Mailing address

PO Box 40018
Baton Rouge, LA 70835-0018
Phone (225) 906-4644

Other names 1

  • Family Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613001151 LA Part A Provider - Home Health Agency 9234301797 Practice locations: Covington, LA

Home health agency certification: CCN 197325

Legal name
BLUEBONNET HEALTHCARE, INC.
Doing business as
FAMILY HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 13, 1991
Last certification
Jan 23, 2020
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Enrollment address
109 Northpark Blvd
Suite 310
Covington, LA 70433

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Family Home Health AgencyCCN 197325
Ownership
Proprietary
Certified
Nov 13, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0882506Family Home Health Agency109 Northpark Blvd, Suite 310, Covington, LA 70433Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory

Locations

109 Northpark Blvd
Ste 310
Covington, LA 70433
Phone (985) 732-4892

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Lonnie L Peeler Individual Corporate OfficerChief Operations Officer Jan 1, 2025 100%
Richard T Daspit Individual Corporate OfficerPresident Jan 1, 2025 100%
Bluebonnet Healthcare, Inc. Organization, Baton Rouge, LA Medical provider/supplier 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Operational/Managerial Control Jan 1, 2025
Keith Cooper Individual Corporate DirectorCorporate Administrator Apr 1, 2025
W-2 Managing EmployeeAd; Apr 1, 2025 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2025 Change of OwnershipThis provider was the buyer Family Home Health AgencyCCN 197325, LA, NPI 1639236888

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1124843560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40018",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708350018",
            "telephone_number": "225-906-4644",
            "fax_number": "225-753-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NORTHPARK BLVD STE 310",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335094",
            "telephone_number": "985-732-4892",
            "fax_number": "985-732-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "DASPIT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-906-4646"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.