NPIMap

Organization Active NPI

LTAC Hospital of Feliciana, LLC

Doing business as Zachary - AMG Specialty Hospital

  • Long Term Care Hospital
  • Zachary, LA
National Provider Identifier
1316180706
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
LTAC HOSPITAL OF FELICIANA, LLC
Doing business as
Zachary - AMG Specialty Hospital
Practice address
4601 McHugh Rd
BLDG B
Zachary, LA 70791-5348
Phone
(225) 683-1600
Fax
(225) 683-1616
NPI assigned
Apr 14, 2009
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Mr. August J. Rantz IV
Title
Chief Operating Officer
Phone
(337) 269-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

4601 McHugh Rd
BLDG B
Zachary, LA 70791-5348

Mailing address

101 La Rue France Ste 500
Lafayette, LA 70508-3144
Phone (337) 269-9566

Other names 1

  • Zachary - AMG Specialty Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000081 LA Part A Provider - Hospital 1850443698 Practice locations: Zachary, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316180706. Details of each certification follow.

Hospital certification: CCN 192041

Legal name
LTAC HOSPITAL OF FELICIANA LLC
Doing business as
ZACHARY - AMG SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 10, 2003
Last certification
Feb 10, 2026
Beds
16
Ownership / control type
Private (for profit)
Most recent change of ownership
Apr 10, 2009 (1 total)
Organization structure
LLCProprietary
Incorporated
Mar 26, 2009 in LA
Enrollment address
4601 McHugh Rd
BLDG B
Zachary, LA 70791-5348
Other Hospital Practice Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Zachary - a M G Specialty HospitalCCN 192041 · All quality measures
Ownership
For profit
Certified
Jan 10, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Beds
16

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
19D1006564Zachary-Amg Specialty Hospital4601 McHugh Rd, Building B, Zachary, LA 70791Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Amg 2 0 Holdco Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 27, 2019 100%
Amg 2 0 LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 20, 2018 70.59%
Timothy W Howard Individual Corporate OfficerCeo Dec 27, 2019 100%
Corporate DirectorBoard Director Apr 10, 2009 100%
Jessica L McGee Individual Corporate OfficerCfo Apr 10, 2009 25%
Mark C Mouton Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2016 11.76%
August J Rantz Individual Corporate OfficerPresident Dec 27, 2019 100%
Corporate DirectorBoard Director Apr 10, 2009 100%
Amg Employee Stock Ownership Plan Organization, Lafayette, LA 5% Or Greater Indirect Ownership Interest Dec 27, 2019 100%
John Landreneau Individual W-2 Managing EmployeeHospital Ceo/Administrator Mar 24, 2022 50%

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 8

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

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 4

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": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1316180706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE STE 500",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083144",
            "telephone_number": "337-269-9566",
            "fax_number": "337-269-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MCHUGH RD",
            "address_2": "BLDG B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915348",
            "telephone_number": "225-683-1600",
            "fax_number": "225-683-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTAC HOSPITAL OF FELICIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "RANTZ",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "337-269-9566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zachary - AMG Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.