Active NPI
Lafourche Home for the Aged & Infirm, Inc.
- Skilled Nursing Facility
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 129
- Legal business name
- LAFOURCHE HOME FOR THE AGED & INFIRM, INC.
- Practice address
- 1002 Tiger Dr
Thibodaux, LA 70301-6634 - Phone
- (985) 447-2205
- Fax
- (985) 446-9977
- NPI assigned
- Sep 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ann H. Howell
- Title
- Administrator
- Phone
- (985) 447-2205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 129 | LA | Primary |
Addresses
Primary practice location
1002 Tiger Dr
Thibodaux, LA 70301-6634
Mailing address
1002 Tiger Dr
Thibodaux, LA 70301-6634
Phone (985) 447-2205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1511129 | Medicaid | LA |
Other names 1
- Lafourche Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110607000449 | LA | Part A Provider - Skilled Nursing Facility | 5597942235 | Practice locations: Thibodaux, LA |
Skilled nursing facility certification: CCN 195449
- Legal name
- LAFOURCHE HOME FOR THE AGED & INFIRM, INC.
- Doing business as
- LAFOURCHE HOME FOR THE AGED
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Dec 1, 1997
- Last certification
- Mar 11, 2025
- Beds
- 72
- Ownership / control type
- Corporation
- Multi-facility organization
- Legacy Nursing and Rehabilitation
- Organization structure
- Corporation
- Incorporated
- Dec 1, 1997 in LA
- Enrollment address
- 1002 Tiger Dr
Lafource Home for the Aged
Thibodaux, LA 70301-6634
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Legacy Nursing and Rehabilitation of Lafourche
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1997
- Medicare certification status
- Active
- Certified beds
- 72
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0901109 | Lafourche Home for the Aged & Infirm | Certificate of waiver | May 15, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jamie Francise | Corporate Officer | Jun 1, 2011 | 16.67% |
| W-2 Managing Employee | Jun 1, 2011 | 16.67% | |
| Penny Tate | Other | Jun 15, 2008 | 16.66% |
| Stephen Peltier | Corporate Officer | Jun 1, 2011 | 16.67% |
| Thomas Harang | Other | Jan 1, 2009 | 16.66% |
| Kim Brannagan | Other | Jul 9, 2010 | 16.67% |
| Jeanne Chiasson | Corporate Officer | May 26, 2011 | 16.67% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Thibodaux, LA
- NPI 1073502472
-
- Internal Medicine Physician
- Thibodaux, LA
- NPI 1669913943
Affiliated clinicians 8
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": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427045020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 TIGER DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703016634",
"telephone_number": "985-447-2205",
"fax_number": "985-446-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 TIGER DR",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703016634",
"telephone_number": "985-447-2205",
"fax_number": "985-446-9977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFOURCHE HOME FOR THE AGED & INFIRM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOWELL",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "985-447-2205",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511129",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lafourche Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.