NPIMap

Organization Active NPI

Louisiana Homecare of Raceland, LLC

  • Home Health Agency
  • Raceland, LA
National Provider Identifier
1356588024
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOUISIANA HOMECARE OF RACELAND, LLC
Practice address
4560 Highway 1 Ste 4
Raceland, LA 70394-2779
Phone
(985) 664-4066
Fax
(985) 664-1240
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 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 Primary

Addresses

Primary practice location

4560 Highway 1 Ste 4
Raceland, LA 70394-2779

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other practice location 1

4608 Highway 1
Raceland, LA 70394-2623
Phone (985) 537-6841

Other names 1

  • Ochsner Home Health of Raceland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090624000203 LA Part A Provider - Home Health Agency 4880745322 Practice locations: Raceland, LA

Home health agency certification: CCN 197119

Legal name
LOUISIANA HOMECARE OF RACELAND, LLC
Doing business as
OSCHNSER HOME HEALTH OF RACELAND
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 14, 1984
Last certification
Dec 12, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4560 Highway 1
Ste 4
Raceland, LA 70394-2779

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ochsner Home Health of RacelandCCN 197119
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 14, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
19D1096325Ochsner Home Health of Raceland4560 Highway 1, Suite 4, Raceland, LA 70394Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

4560 Highway 1
Ste 4
Raceland, LA 70394
Phone (985) 664-4066

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 75%
Marcus Donavon Macip Individual Corporate OfficerSecretary Mar 1, 2023
Southeast Louisiana Homecare LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Jan 29, 2009 100%
Kimberly Seymour Individual Corporate OfficerCfo Mar 1, 2023
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
Amy E Malbrough Individual W-2 Managing EmployeeAdministrator / Director of Nursing Sep 11, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jan 29, 2009 75%
Operational/Managerial Control Jan 29, 2009 100%
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2009 25%
Joshua Lee Proffitt Individual Corporate OfficerExecutive Vice President Aug 1, 2012
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025
Louisiana Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2009 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 114

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

View all 114

Practitioners & affiliated clinicians

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1356588024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 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": "4560 HIGHWAY 1 STE 4",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942779",
            "telephone_number": "985-664-4066",
            "fax_number": "985-664-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4608 Highway 1",
            "address_purpose": "LOCATION",
            "city": "Raceland",
            "state": "LA",
            "postal_code": "703942623",
            "country_code": "US",
            "telephone_number": "985-537-6841",
            "fax_number": "985-537-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUISIANA HOMECARE OF RACELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2018-12-07",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Home Health of Raceland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ochsner Home Health of Raceland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.