NPIMap

Organization Active NPI

Homer Memorial Hospital

Doing business as Claiborne Memorial Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Homer, LA
National Provider Identifier
1306441175
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HOMER MEMORIAL HOSPITAL
Doing business as
Claiborne Memorial Medical Center
Practice address
620 E College St
Homer, LA 71040-3202
Phone
(318) 927-2024
Fax
(318) 371-3835
NPI assigned
Dec 1, 2020
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Tina Haynes, RHIA
Title
Ceo
Phone
(318) 927-2024

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

620 E College St
Homer, LA 71040-3202

Mailing address

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

Other names 1

  • Claiborne Memorial Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.claibornemedical.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Homer Memorial Hosp Beh13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

9540 Highway 79
Haynesville, LA 71038
Phone (318) 624-3665

600 N Main St
Homer, LA 71040
Phone (318) 927-9119

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1306441175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E COLLEGE ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403202",
            "telephone_number": "318-927-2024",
            "fax_number": "318-371-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E COLLEGE ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403202",
            "telephone_number": "318-927-2024",
            "fax_number": "318-371-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-927-2024",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.claibornemedical.com",
            "affiliation": "N",
            "endpointDescription": "Web Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web Address",
            "address_1": "620 E College St",
            "city": "Homer",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710403202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Claiborne Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Claiborne Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.