NPIMap

Organization Active NPI

West Carroll Health Systems, LLC

  • Home Health Agency
  • Oak Grove, LA
National Provider Identifier
1396723730
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WEST CARROLL HEALTH SYSTEMS, LLC
Doing business as
west carroll home health
Practice address
110 N Front St
Oak Grove, LA 71263-7680
Phone
(318) 428-9604
Fax
(318) 428-9610
NPI assigned
Jan 5, 2006
Organization subpart
Yes
Parent organization
WEST CARROLL HEALTH SYSTEMS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Raymond Morris
Title
Administrator
Phone
(318) 428-3237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

110 N Front St
Oak Grove, LA 71263-7680

Mailing address

706 Ross St
Oak Grove, LA 71263-9798
Phone (318) 428-3237

Other identifiers 2

IdentifierTypeStateIssuer
190030670ZOtherLABLUE CROSS
1401358MedicaidLA

Other names 1

  • west carroll home health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000728 LA Part A Provider - Home Health Agency 5294627774 Practice locations: Oak Grove, LA

Home health agency certification: CCN 197135

Legal name
WEST CARROLL HEALTH SYSTEMS, LLC
Doing business as
WEST CARROLL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 1984
Last certification
Dec 11, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 28, 2002 in LA
Enrollment address
110 North Front Street
Oak Grove, LA 71263
HHA Branch

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
West Carroll Mem. Hospital HomeCCN 197135
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 21, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
19D0866336West Carroll Memorial Home Health110 North Front Street, Oak Grove, LA 71263Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
East Carroll Medical Clinic9 organizations share this tax ID, including this one
Part of
East Carroll Medical Clinic

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Dewana F Little Individual 5% Or Greater Direct Ownership Interest Dec 1, 2002
Corporate Director Dec 1, 2002
West Carroll Health Systems, LLC Organization, Oak Grove, LA 5% Or Greater Direct Ownership Interest Dec 1, 2002
Operational/Managerial Control Dec 1, 2002
Raymond Morris Individual 5% Or Greater Direct Ownership Interest Dec 1, 2002
Amanda D Grey Individual 5% Or Greater Direct Ownership Interest Dec 1, 2002
Corporate Director Dec 1, 2002
Shannon Dawn Poche Individual W-2 Managing EmployeeOffice Manager Nov 1, 2021

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Carroll Memorial HospitalOak Grove, LA, CCN 19Z327 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002
Lake Providence Medical ClinicLake Providence, LA, CCN 193999 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002
Oak Grove Medical ClinicOak Grove, LA, CCN 193984 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002
West Carroll Medical ClinicOak Grove, LA, CCN 193992 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002
Community Medical ClinicOak Grove, LA, CCN 193409 Rural health clinic 5% Or Greater Direct Ownership Interest Dec 1, 2002

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1396723730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROSS ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712639798",
            "telephone_number": "318-428-3237",
            "fax_number": "318-428-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N FRONT ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712637680",
            "telephone_number": "318-428-9604",
            "fax_number": "318-428-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CARROLL HEALTH SYSTEMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST CARROLL HEALTH SYSTEMS, LLC",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-428-3237"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "190030670Z",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401358",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "west carroll home health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "west carroll home health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Grove, LA

Sources for this page

Verify at the official NPI Registry.