NPIMap

Organization Active NPI

Allen Parish Hospital District No 3

Doing business as Allen Parish Home Health

  • Home Health Agency
  • Kinder, LA
National Provider Identifier
1508917154
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
820 Issued in LA
Legal business name
ALLEN PARISH HOSPITAL DISTRICT NO 3
Doing business as
Allen Parish Home Health
Practice address
108 Sixth Ave
Kinder, LA 70648-1670
Phone
(337) 738-5627
Fax
(337) 738-4007
NPI assigned
Jan 12, 2007
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Jacqueline Rae Costley-Reviel
Title
Ceo
Phone
(337) 738-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 820 LA Primary

Addresses

Primary practice location

108 Sixth Ave
Kinder, LA 70648-1670

Mailing address

108 6TH Ave
Kinder, LA 70648-3187
Phone (337) 738-5627

Other identifiers 2

IdentifierTypeStateIssuer
30011OtherLABCBS PROVIDER NUMBER
1406554MedicaidLA

Other names 1

  • Allen Parish Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@aph.hin.us Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000819 LA Part A Provider - Home Health Agency 3274431341 Practice locations: Kinder, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508917154. Details of each certification follow.

Home health agency certification: CCN 197748

Legal name
ALLEN PARISH HOSPITAL DISTRICT NO 3
Doing business as
ALLEN PARISH HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 27, 1995
Last certification
Mar 12, 2019
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Incorporated
Jul 23, 1969 in LA
Enrollment address
532 N 8TH St
Kinder, LA 70648-3323

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allen Parish Home HealthCCN 197748 · All quality measures
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Oct 27, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, 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
19D0903842Allen Parish Home Health108 6TH Avenue, Kinder, LA 70648Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Khudr Burjak MD8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Melissa Martin Individual W-2 Managing EmployeeDirector of Finance May 19, 2008
Allen Parish Hospital District No 3 Organization Non-profit Other Dec 27, 1995 100%
Jacqueline Reviel Individual W-2 Managing Employee Sep 25, 2014
Richard Stokes Individual W-2 Managing Employee Aug 1, 2023

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allen Parish Hospital Rural Health ClinicKinder, LA, CCN 193470 Rural health clinic Other (100%) Apr 14, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

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 6

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1508917154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 6TH AVE",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "706483187",
            "telephone_number": "337-738-5627",
            "fax_number": "337-738-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SIXTH AVE",
            "city": "KINDER",
            "state": "LA",
            "postal_code": "706481670",
            "telephone_number": "337-738-5627",
            "fax_number": "337-738-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PARISH HOSPITAL DISTRICT NO 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "COSTLEY-REVIEL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-738-2527"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "30011",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406554",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@aph.hin.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 Sixth Ave",
            "city": "Kinder",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706481670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allen Parish Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allen Parish Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinder, LA

Sources for this page

Verify at the official NPI Registry.