NPIMap

Organization Active NPI

Alphacare Home Health, Inc.

  • Home Health Agency
  • Monroe, LA
National Provider Identifier
1205911369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
608 Issued in LA
Legal business name
ALPHACARE HOME HEALTH, INC.
Practice address
1859 Avenue of America
Building 5
Monroe, LA 71201-4529
Phone
(318) 323-7097
Fax
(318) 323-6833
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Russell M Starns
Title
C.E.O.
Phone
(225) 262-9741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 608 LA Primary

Addresses

Primary practice location

1859 Avenue of America
Building 5
Monroe, LA 71201-4529

Mailing address

1859 Avenue of America
Building 5
Monroe, LA 71201-4529
Phone (318) 323-7097

Other identifiers 1

IdentifierTypeStateIssuer
1404080MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120620000297 LA Part A Provider - Home Health Agency 2769646959 Practice locations: Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205911369. Details of each certification follow.

Home health agency certification: CCN 197491

Legal name
ALPHACARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 1992
Last certification
Oct 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 24, 1992 in LA
Enrollment address
1859 Avenue of America 5 a
Monroe, LA 71201-4529

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alphacare Home Health, Inc.CCN 197491 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 29, 1992
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
19D0888073Alphacare Home Health, Inc1859 Avenue of America BLDG 5 Suite a, Monroe, LA 71201Certificate of waiverJun 21, 2028

National Provider Directory

National Provider Directory

Locations

1859 Avenue of America
#5A
Monroe, LA 71201
Phone (318) 323-7097

1859 Avenue of America
Bldg 5
Monroe, LA 71201
Phone (318) 323-7097

1859 Avenue of America
Bldg 5A
Monroe, LA 71201

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jennifer Starns Individual W-2 Managing Employee Nov 29, 2000
Russell Starns Individual 5% Or Greater Direct Ownership InterestOwner Jul 15, 1993 100%
Corporate OfficerCeo Jul 15, 1993

Practitioners & affiliated clinicians

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205911369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 AVENUE OF AMERICA",
            "address_2": "BUILDING 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014529",
            "telephone_number": "318-323-7097",
            "fax_number": "318-323-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 AVENUE OF AMERICA",
            "address_2": "BUILDING 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014529",
            "telephone_number": "318-323-7097",
            "fax_number": "318-323-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHACARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARNS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "225-262-9741",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1404080",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.