NPIMap

Organization Active NPI

Louisiana Homecare of Minden, LLC

Doing business as Louisiana HomeCare

  • Home Health Agency
  • Springhill, LA
National Provider Identifier
1225085111
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
989 Issued in LA
Legal business name
LOUISIANA HOMECARE OF MINDEN, LLC
Doing business as
Louisiana HomeCare
Louisiana HomeCare / Springhill
Practice address
1112 Doctors Dr
Springhill, LA 71075-4528
Phone
(318) 539-5980
Fax
(318) 539-5982
NPI assigned
May 27, 2006
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Donald D. Stelly
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 989 LA Primary

Addresses

Primary practice location

1112 Doctors Dr
Springhill, LA 71075-4528

Mailing address

P.O. Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other practice location 1

926 Homer Rd
Minden, LA 71055-3066
Phone (318) 377-0800

Other identifiers 2

IdentifierTypeStateIssuer
1406716MedicaidLA
190030781ZOtherLABLUE CROSS BLUE SHIELD OF

Other names 2

  • Louisiana HomeCare Doing business as
  • Louisiana HomeCare / Springhill Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000579 LA Part A Provider - Home Health Agency 7618946146 Practice locations: Springhill, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225085111. Details of each certification follow.

Home health agency certification: CCN 197776

Legal name
LOUISIANA HOMECARE OF MINDEN, LLC
Doing business as
LOUISIANA HOMECARE / SPRINGHILL
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 7, 2002
Last certification
Jan 31, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 11, 2001 in LA
Enrollment address
1112 Doctors Dr
Springhill, LA 71075-4528

Care Compare: Home health agency

Medicare Care Compare
Listed as
Louisiana Homecare/ SpringhillCCN 197776 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 7, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
19D0876145Louisiana Homecare/Springhill1112 Doctors Drive, Springhill, LA 71075Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

201 E Reynolds Dr
Ruston, LA 71270
Phone (318) 255-2959

206 E Reynolds Dr
Ste A2
Ruston, LA 71270
Phone (318) 255-2959

1100 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1001

1112 Doctors Dr
Springhill, LA 71075
Phone (318) 539-5980

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Kelly P Rolen Individual W-2 Managing EmployeeAdministrator/Director of Nursin Sep 3, 2017
Operational/Managerial ControlAdministrator/Don Sep 3, 2017
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 67%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate Officer Feb 22, 2023
Springhill Medical Services, Inc. Organization, Springhill, LA Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2018 33%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Aug 7, 2002 67%
Operational/Managerial Control Oct 1, 2018
Joshua Lee Proffitt Individual Corporate OfficerEvp/Corporate Secretary for LHC Oct 1, 2018
Louisiana Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Aug 7, 2002 67%

Owners & managing parties with NPI records 6

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

Facilities with the same owner 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1225085111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 DOCTORS DR",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754528",
            "telephone_number": "318-539-5980",
            "fax_number": "318-539-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Homer Rd",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553066",
            "country_code": "US",
            "telephone_number": "318-377-0800",
            "fax_number": "318-377-0841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUISIANA HOMECARE OF MINDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406716",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "190030781Z",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Louisiana HomeCare / Springhill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springhill, LA

Sources for this page

Verify at the official NPI Registry.