NPIMap

Organization Active NPI

Advantage Home Health Care, Inc.

Doing business as Allegiance Home Health of Northwest Louisiana

  • Home Health Agency
  • Minden, LA
National Provider Identifier
1487625455
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
263 Issued in LA
Legal business name
ADVANTAGE HOME HEALTH CARE, INC.
Doing business as
Allegiance Home Health of Northwest Louisiana
Practice address
802 Broadway St
Minden, LA 71055-3309
Phone
(318) 377-4663
Fax
(318) 377-4699
NPI assigned
Jan 30, 2006
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Katie Bennett
Title
Director of Operations
Phone
(318) 516-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 263 LA Primary

Addresses

Primary practice location

802 Broadway St
Minden, LA 71055-3309

Mailing address

802 Broadway St
Minden, LA 71055-3309
Phone (318) 377-4663

Other practice location 1

1800 Buckner St Ste 210
Shreveport, LA 71101-4440
Phone (318) 932-6877

Other identifiers 1

IdentifierTypeStateIssuer
1402052MedicaidLA

Other names 1

  • ALLEGIANCE HOME HEALTH OF NORTHWEST LOUISIANA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000573 LA Part A Provider - Home Health Agency 0446331961 Practice locations: Minden, LA; Shreveport, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487625455. Details of each certification follow.

Home health agency certification: CCN 197211

Legal name
ADVANTAGE HOME HEALTH CARE, INC.
Doing business as
ALLEGIANCE HOME HEALTH OF NORTHWEST LOUISIANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 13, 1987
Last certification
Nov 18, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 11, 1991 in LA
Enrollment address
802 Broadway St
Minden, LA 71055-3309

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allegiance Home Health of Northwest laCCN 197211 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 13, 1987
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
19D0869557Advantage Home Health Care Inc802 Broadway St., Minden, LA 71055Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Advantage Home Health Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

802 Broadway St
Minden, LA 71055
Phone (318) 377-4663

1800 Buckner St
Ste 210
Shreveport, LA 71101
Phone (318) 932-6877

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
Allegiance Home Health of Northwest Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Direct Ownership Interest Dec 15, 2020 100%
Rock Bordelon Individual 5% Or Greater Indirect Ownership Interest Dec 15, 2020 100%
Corporate DirectorBoard Member Dec 15, 2020 100%
Allegiance Healthcare of Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Indirect Ownership Interest Jan 31, 2022 100%
Operational/Managerial Control Jan 5, 2022
Katie Bennett Individual Corporate OfficerDirector of Operations Jan 4, 2021
Joseph Monsour Individual Corporate OfficerChief Executive Officer Dec 15, 2020
Operational/Managerial ControlChief Executive Officer Dec 15, 2020

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1487625455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BROADWAY ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553309",
            "telephone_number": "318-377-4663",
            "fax_number": "318-377-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BROADWAY ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553309",
            "telephone_number": "318-377-4663",
            "fax_number": "318-377-4699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Buckner St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014440",
            "country_code": "US",
            "telephone_number": "318-932-6877",
            "fax_number": "318-932-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANTAGE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "318-516-2270"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1402052",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGIANCE HOME HEALTH OF NORTHWEST LOUISIANA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEGIANCE HOME HEALTH OF NORTHWEST LOUISIANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.