Active NPI
Lane Senior Care LLC
Doing business as The Lodge at Lane
- Skilled Nursing Facility
- Zachary, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LANE SENIOR CARE LLC
- Doing business as
- The Lodge at Lane
- Practice address
- 6170 Carpenter Drive
Zachary, LA 70791-4041 - Phone
- (225) 658-4345
- Fax
- (225) 658-4192
- NPI assigned
- Jul 15, 2020
- Last updated
- May 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaley Hill
- Title
- Manager
- Phone
- (225) 405-4144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6170 Carpenter Drive
Zachary, LA 70791-4041
Mailing address
6170 Carpenter Drive
Zachary, LA 70791-4041
Phone (225) 658-4345
Other names 1
- THE LODGE AT LANE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200827001071 | LA | Part A Provider - Skilled Nursing Facility | 0648697219 | Practice locations: Zachary, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285242347. Details of each certification follow.
Skilled nursing facility certification: CCN 195617
- Legal name
- LANE SENIOR CARE LLC
- Doing business as
- THE LODGE AT LANE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 21, 2004
- Last certification
- Feb 5, 2025
- Beds
- 39
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jul 24, 2020 in LA
- Enrollment address
- 6170 Carpenter Rd
Zachary, LA 70791-4041 - Nursing home name
- THE LODGE AT LANE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Lodge at Lane
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 21, 2004
- Medicare certification status
- Active
- Certified beds
- 39
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2191364 | Lane Senior Care, LLC | Certificate of waiver | Aug 25, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Tangi Pines Nursing Center
- Skilled Nursing Facility
- Amite, LA
- NPI 1902250129
Member Of
Ownership & related parties
All disclosed owners & managing parties 30
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bond Babin | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 10% |
| Adp of the SNF | Jul 31, 2020 | ||
| Lane Senior Care LLC | Direct Ownership Interest | Aug 1, 2020 | 100% |
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Dec 12, 2025 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Dec 12, 2025 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Dec 12, 2025 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| BNB Management LLC | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 10% |
| Adp of the SNF | Jul 31, 2020 | ||
| Tamara Dayton | Operational/Managerial Control | Feb 1, 2024 | |
| Adp of the SNF | Feb 1, 2024 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Champion Management LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2005 | 45% |
| Adp of the SNF | Jul 31, 2020 | ||
| Capital Hill Holdings | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 45% |
| Venu B Kakarala | Adp of the SNF | Aug 1, 2020 | |
| Kaley Hill | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 45% |
| Operational/Managerial Control | Aug 1, 2020 | 50% | |
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Hometown Healthcare Management | Indirect Ownership Interest | Aug 1, 2020 | 90% |
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| Adp of the SNF | Jul 31, 2020 | ||
| John P Stagg | 5% Or Greater Indirect Ownership Interest | Aug 1, 2020 | 45% |
| Operational/Managerial Control | Aug 1, 2020 |
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 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Baton Rouge, LA
- NPI 1831267558
Champion Management LLC
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.
-
- Internal Medicine Physician
- Slaughter, LA
- NPI 1538166822
Affiliated clinicians 1
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": "1594771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1285242347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6170 CARPENTER DRIVE",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914041",
"telephone_number": "225-658-4345",
"fax_number": "225-658-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6170 CARPENTER DRIVE",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914041",
"telephone_number": "225-658-4345",
"fax_number": "225-658-4192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANE SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-15",
"last_updated": "2022-05-20",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "KALEY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "225-405-4144"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE LODGE AT LANE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THE LODGE AT LANE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.