NPIMap

Organization Active NPI

Southeast Louisiana Home Health, LLC

  • Home Health Agency
  • Covington, LA
National Provider Identifier
1386610848
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHEAST LOUISIANA HOME HEALTH, LLC
Practice address
832 E. Boston St.
Suite 10
Covington, LA 70433-2940
Phone
(985) 892-8008
Fax
(985) 893-8752
NPI assigned
Feb 24, 2006
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Mr. John F. Martin
Title
Ceo
Phone
(985) 892-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

832 E. Boston St.
Suite 10
Covington, LA 70433-2940

Mailing address

832 E. Boston St.
Suite 10
Covington, LA 70433-2940
Phone (985) 892-8008

Other identifiers 1

IdentifierTypeStateIssuer
1400238MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060308000242 LA Part A Provider - Home Health Agency 8527075019 Practice locations: Bogalusa, LA; Metairie, LA; Franklinton, LA; Covington, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386610848. Details of each certification follow.

Home health agency certification: CCN 197023

Legal name
SOUTHEAST LOUISIANA HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 2, 1970
Last certification
Jun 3, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 21, 1985 in LA
Enrollment address
832 E Boston St
Ste 10
Covington, LA 70433-2940
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Southeast Louisiana Home Health, LLCCCN 197023 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 2, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
19D0878423Southeast Louisiana Home Health LLC832 E Boston Street Ste 10, Covington, LA 70433Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

1406 Avenue F
Bogalusa, LA 70427
Phone (985) 732-7104

14425 Highway 21 S
Ste B
Bogalusa, LA 70427

14428 Highway 21 S
#A
Bogalusa, LA 70427
Phone (985) 732-7104

503 Louisiana Ave
Bogalusa, LA 70427
Phone (985) 732-7104

2020 Washington St
Franklinton, LA 70438
Phone (985) 322-2073

64040 Highway 434
Ste 201
Lacombe, LA 70445
Phone (985) 869-7838

2121 N Causeway Blvd
Ste 255
Metairie, LA 70001
Phone (504) 828-3276

2901 Division St
Ste 101
Metairie, LA 70002
Phone (504) 828-3276

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
Heather Branch Individual W-2 Managing EmployeeDon Dec 15, 2017
Operational/Managerial ControlDon Dec 15, 2017
Rebecca Watts Individual W-2 Managing Employee Nov 30, 2011
David Crowe Individual W-2 Managing EmployeeCfo Jan 1, 2015
Operational/Managerial ControlCfo Jan 1, 2015
John Martin Individual 5% Or Greater Direct Ownership Interest Jan 1, 2015 50%
Operational/Managerial Control Jan 1, 2015 50%
Laura Augistine Individual W-2 Managing EmployeeAdon Dec 15, 2017
Operational/Managerial ControlAdon Dec 15, 2017
Brooke Juno Individual Corporate DirectorDelegated Official May 21, 2018
VG Private Equity 1 LLC Organization, Slidell, LA LLC 5% Or Greater Direct Ownership Interest Jan 1, 2015 50%
Operational/Managerial Control Jan 1, 2015 50%
Oris Creighton Individual Corporate OfficerOfficer & Cfo Mar 16, 2018 50%

Practitioners & affiliated clinicians

Affiliated clinicians 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1386610848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 E. BOSTON ST.",
            "address_2": "SUITE 10",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332940",
            "telephone_number": "985-892-8008",
            "fax_number": "985-893-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 E. BOSTON ST.",
            "address_2": "SUITE 10",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332940",
            "telephone_number": "985-892-8008",
            "fax_number": "985-893-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST LOUISIANA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-892-8008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400238",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.