NPIMap

Organization Active NPI

Life at Home LLC

  • Community Based Hospice Care Agency
  • Rosepine, LA
National Provider Identifier
1285854455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
6672 Issued in LA
Legal business name
LIFE AT HOME LLC
Practice address
18638 Johnny B Hall Memorial Highway
Suite 4
Rosepine, LA 70659
Phone
(337) 462-2745
Fax
(337) 462-2746
NPI assigned
Apr 27, 2007
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
Mrs. Daisy W Holmes, MSN, RN
Title
Executive Director
Phone
(337) 462-2745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 6672 LA Primary

Addresses

Primary practice location

18638 Johnny B Hall Memorial Highway
Suite 4
Rosepine, LA 70659

Mailing address

PO Box 647
Rosepine, LA 70659-0647
Phone (337) 462-2745

Other identifiers 1

IdentifierTypeStateIssuer
1370932MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Life Home LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285854455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "ROSEPINE",
            "state": "LA",
            "postal_code": "706590647",
            "telephone_number": "337-462-2745",
            "fax_number": "337-462-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18638 JOHNNY B HALL MEMORIAL HIGHWAY",
            "address_2": "SUITE 4",
            "city": "ROSEPINE",
            "state": "LA",
            "postal_code": "70659",
            "telephone_number": "337-462-2745",
            "fax_number": "337-462-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-462-2745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "6672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370932",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosepine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.