NPIMap

Organization Active NPI

Homedica of Louisiana, LLC

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1174866479
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
HOMEDICA OF LOUISIANA, LLC
Practice address
8923 Bluebonnet Blvd
Baton Rouge, LA 70810-2973
Phone
(225) 766-4133
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Patrick Mitchell
Title
Managing Member
Phone
(225) 368-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

8923 Bluebonnet Blvd
Baton Rouge, LA 70810-2973

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AL, MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130801000255 LA Part B Supplier - Clinic/Group Practice 4789825837 Receives reassigned benefits from 19 practitioners
Practice locations: Baton Rouge, LA
O20181129002841 AL Part B Supplier - Clinic/Group Practice 4789825837 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL
O20200210002042 MS Part B Supplier - Clinic/Group Practice 4789825837 Receives reassigned benefits from 3 practitioners
Practice locations: Gulfport, MS

National Provider Directory

National Provider Directory

Locations

23 Midtown Park W
Ste B1
Mobile, AL 36606
Phone (251) 295-5110

1410 Braden St
Ste B
Jacksonville, AR 72076
Phone (844) 414-2072

15104 Pride Valley Rd
Ste B
Little Rock, AR 72223
Phone (844) 414-2072

1240 Broad Ave
Ste B
Gulfport, MS 39501
Phone (601) 456-5100

521 Interstate 45 S
Ste 1A
Huntsville, TX 77340
Phone (504) 453-7192

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1174866479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102973",
            "telephone_number": "225-766-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEDICA OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-368-3181"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.