NPIMap

Organization Active NPI

Trucare Home Health Central LLC

  • Home Health Agency
  • Alexandria, LA
National Provider Identifier
1134856255
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRUCARE HOME HEALTH CENTRAL LLC
Practice address
1004 Calais Cir
Alexandria, LA 71303-2307
Phone
(318) 448-8132
Fax
(318) 448-8367
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Darlene Richard
Title
Director of Reimbursement
Phone
(318) 281-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1004 Calais Cir
Alexandria, LA 71303-2307

Mailing address

1523 Texas Ave
Bastrop, LA 71220-4043
Phone (318) 281-0078

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ShareFileNotification Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230509002599 LA Part A Provider - Home Health Agency 0840656252 Practice locations: Alexandria, LA

Home health agency certification: CCN 197018

Legal name
TRUCARE HOME HEALTH CENTRAL, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 30, 1969
Last certification
Jul 6, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 1, 2022 in LA
Enrollment address
5208 Jackson St
Ste B
Alexandria, LA 71303-2303

Care Compare: Home health agency

Medicare Care Compare
Listed as
Trucare Home Health Central, LLCCCN 197018
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Dec 30, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
19D2332024Trucare Home Health Central LLC5208 Jackson St Stuie B, Alexandria, LA 71303Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1004 Calais Cir
Alexandria, LA 71303
Phone (318) 448-8132

5208 Jackson Street Ext
Ste B
Alexandria, LA 71303
Phone (318) 448-8132

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
Charles Gladney Individual 5% Or Greater Indirect Ownership Interest Sep 15, 2022 76%
Trucare Home Health, LLC Organization, Bastrop, LA LLC, Medical provider/supplier, For-profit 5% Or Greater Direct Ownership Interest Sep 15, 2022 100%
Two Gold Keys LLC Organization, Bastrop, LA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 15, 2022 24%
Delta Healthcare Management, LLC Organization, Bastrop, LA LLC, For-profit Operational/Managerial Control Sep 15, 2022 100%
Other Sep 15, 2022 100%
Lauren Rogers Individual Operational/Managerial ControlManagerial Sep 15, 2022 100%
Matthew Lyon Individual Corporate OfficerManager Sep 15, 2022
Operational/Managerial ControlManager Sep 15, 2022 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 5

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

Change-of-ownership history 1

DateEventCounterparty
Sep 12, 2022 Change of OwnershipThis provider was the buyer Professional Home Health Services of AlexandriaCCN 197018, LA, NPI 1871590091

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1134856255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 TEXAS AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CALAIS CIR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032307",
            "telephone_number": "318-448-8132",
            "fax_number": "318-448-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE HOME HEALTH CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "318-281-0078"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ShareFileNotification",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1004 Calais Cir",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713032307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.