NPIMap

Organization Active NPI

Nursesource Home Care Inc

Doing business as Allegiance Home Health of Northeast Louisiana

  • Home Health Agency
  • West Monroe, LA
National Provider Identifier
1437185055
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NURSESOURCE HOME CARE INC
Doing business as
Allegiance Home Health of Northeast Louisiana
Practice address
117 Julia St Unit 7
West Monroe, LA 71291-5395
Phone
(318) 516-2270
Fax
(318) 588-8837
NPI assigned
Jun 24, 2006
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Katie Bennett
Title
Administrator
Phone
(318) 516-2270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 648 LA
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

117 Julia St Unit 7
West Monroe, LA 71291-5395

Mailing address

1231 Farmerville Hwy
Ruston, LA 71270-3513
Phone (318) 516-2270

Other practice location 1

1231 Farmerville Hwy
Ruston, LA 71270-3513
Phone (318) 516-2270

Other identifiers 1

IdentifierTypeStateIssuer
1404535MedicaidLA

Other names 1

  • ALLEGIANCE HOME HEALTH OF NORTHEAST LOUISIANA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000060 LA Part A Provider - Home Health Agency 9234147554 Practice locations: Ruston, LA; West Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437185055. Details of each certification follow.

Home health agency certification: CCN 197550

Legal name
NURSESOURCE HOME CARE INC
Doing business as
ALLEGIANCE HOME HEALTH OF NORTHEAST LOUISIANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 18, 1993
Last certification
Jan 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 11, 1993 in LA
Enrollment address
117 Julia St
Unit 7
West Monroe, LA 71291-5395

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allegiance Home Health of Northeast laCCN 197550 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 18, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

101 N 2nd St
Ste 200D
West Monroe, LA 71291
Phone (318) 516-2270

117 Julia St
Unit 7
West Monroe, LA 71291
Phone (318) 516-2270

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
Rock Bordelon Individual 5% Or Greater Indirect Ownership Interest Jan 5, 2021 100%
Corporate Director Jan 5, 2021
Allegiance Healthcare of Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Indirect Ownership Interest Jan 31, 2022 100%
Ginger Ezell Individual Corporate OfficerDirector of Revenue Cycle Sep 13, 2021
Operational/Managerial ControlDirector of Revenue Cycle Sep 13, 2021
Katie Bennett Individual W-2 Managing EmployeeAdministrator Nov 1, 2019
Joseph Monsour Individual Corporate DirectorDirector Jan 4, 2021
Operational/Managerial Control Jan 4, 2021
Ashley Wilkinson Individual W-2 Managing EmployeeDirector of Nursing Mar 1, 2018
Allegiance Home Health LLC Organization, Bossier City, LA LLC Operational/Managerial Control Jan 5, 2021 100%
Allegiance Home Health of Northeast Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Direct Ownership Interest Jan 5, 2021 100%

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Affiliated clinicians 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1437185055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 FARMERVILLE HWY",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703513",
            "telephone_number": "318-516-2270",
            "fax_number": "318-588-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 JULIA ST UNIT 7",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915395",
            "telephone_number": "318-516-2270",
            "fax_number": "318-588-8837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Farmerville Hwy",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712703513",
            "country_code": "US",
            "telephone_number": "318-516-2270",
            "fax_number": "318-588-8837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURSESOURCE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-516-2270"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "648",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1404535",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGIANCE HOME HEALTH OF NORTHEAST LOUISIANA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEGIANCE HOME HEALTH OF NORTHEAST LOUISIANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.