NPIMap

Organization Active NPI

Audubon Home Health South Inc

  • Home Health Agency
  • Lafayette, LA
National Provider Identifier
1497187637
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2203781731 Issued in LA
Legal business name
AUDUBON HOME HEALTH SOUTH INC
Practice address
221 Rue de Jean Ste 201
Lafayette, LA 70508-3283
Phone
(337) 210-5124
Fax
(337) 456-4751
NPI assigned
Jul 30, 2013
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Mr. Raymond W Banker Jr., RN
Title
Owner
Phone
(225) 218-8009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2203781731 LA Primary

Addresses

Primary practice location

221 Rue de Jean Ste 201
Lafayette, LA 70508-3283

Mailing address

9256 Interline Ave
Baton Rouge, LA 70809-1907
Phone (225) 218-8009

Other identifiers 1

IdentifierTypeStateIssuer
2444191MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140623002031 LA Part A Provider - Home Health Agency 0143444646 Practice locations: Lafayette, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497187637. Details of each certification follow.

Home health agency certification: CCN 197791

Legal name
AUDUBON HOME HEALTH SOUTH INC
Doing business as
AUDUBON HOME HEALTH OF LAFAYETTE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 23, 2015
Last certification
Jan 15, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 22, 2013 in LA
Enrollment address
221 Rue de Jean
Ste 201
Lafayette, LA 70508-3283

Care Compare: Home health agency

Medicare Care Compare
Listed as
Audubon Home Health of LafayetteCCN 197791 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 23, 2015
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
19D2088014Audubon Home Health South Inc221 Rue de Jean, Suite 201, Lafayette, LA 70508Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

3050 Teddy Dr
Ste B2
Baton Rouge, LA 70809
Phone (223) 293-9230

218 Rue Beauregard
Ste J
Lafayette, LA 70508
Phone (337) 210-5124

221 Rue de Jean
Ste 200
Lafayette, LA 70508

221 Rue de Jean
Ste 201
Lafayette, LA 70508
Phone (337) 210-5124

110 Green St
Thibodaux, LA 70301
Phone (337) 706-1525

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Raymond W Banker Individual 5% Or Greater Direct Ownership InterestPresident Apr 19, 2013 100%
Linda Dianne Troxclair Individual Operational/Managerial ControlAccounting Manager, Delegated of Feb 1, 2017 100%
Heather Hardy Individual Operational/Managerial ControlDirector Or Nursing Nov 18, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1497187637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 INTERLINE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091907",
            "telephone_number": "225-218-8009",
            "fax_number": "225-237-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUE DE JEAN STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083283",
            "telephone_number": "337-210-5124",
            "fax_number": "337-456-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON HOME HEALTH SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "BANKER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-218-8009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "2203781731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2444191",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.