Organization Active NPI

Baton Rouge Home Health Services, Inc

Doing business as Professional Home Health of Baton Rouge

  • Home Health Agency
  • Baton Rouge, LA
National Provider Identifier
1508863739
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
17 Issued in LA
Legal business name
BATON ROUGE HOME HEALTH SERVICES, INC
Doing business as
Professional Home Health of Baton Rouge
Practice address
3233 S Sherwood Forest Blvd
Ste 103
Baton Rouge, LA 70816-2250
Phone
(225) 293-7773
Fax
(225) 293-1890
NPI assigned
Jul 1, 2005
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Harold L Beebe, DDS
Title
President
Phone
(318) 448-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 17 LA Primary

Addresses

Primary practice location

3233 S Sherwood Forest Blvd
Ste 103
Baton Rouge, LA 70816-2250

Mailing address

3233 S Sherwood Forest Blvd
Ste 103
Baton Rouge, LA 70816-2250
Phone (225) 293-7773

Other identifiers 1

IdentifierTypeStateIssuer
1400190MedicaidLA

Other names 1

  • Professional Home Health of Baton Rouge Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

762 Avery Blvd N
Ridgeland, MS 39157

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
QSST Trust for Marshall Todd Quirk Organization, Denham Springs, LA For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 16.66%
The Summitt LLC Organization, Ridgeland, MS LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 25%
Toni H Parkinson Individual Corporate OfficerPresident - Account Management Jan 1, 2017
QSST Trust for Scott Holden Quirk Organization, Denham Springs, LA For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 16.66%
David W Stallard Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2017 25%
Corporate OfficerPresident Jan 1, 2017
Bobby L Beebe Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2017 25%
Corporate OfficerSecretary / Treasurer Jan 1, 2017
Providence Care LLC Organization, Mandeville, LA LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 25%
QSST Trust for Gene Oliver Quirk III Organization, Denham Springs, LA For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2017 16.66%
Gene Quirk Individual Corporate OfficerVP Jan 1, 2017
Kathy Matherne Individual W-2 Managing EmployeeAdmin May 6, 2019

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1508863739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 S SHERWOOD FOREST BLVD",
            "address_2": "STE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162250",
            "telephone_number": "225-293-7773",
            "fax_number": "225-293-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 S SHERWOOD FOREST BLVD",
            "address_2": "STE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162250",
            "telephone_number": "225-293-7773",
            "fax_number": "225-293-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-448-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400190",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Home Health of Baton Rouge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.