Organization Active NPI

Baton Rouge Home Health Services Inc

Doing business as Life Source Home Health

  • Home Health Agency
  • Baton Rouge, LA
National Provider Identifier
1528503174
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1179 Issued in LA
Legal business name
BATON ROUGE HOME HEALTH SERVICES INC
Doing business as
Life Source Home Health
Practice address
3233 S Sherwood Forest Blvd
Suite 103
Baton Rouge, LA 70816-2250
Phone
(225) 293-7773
Fax
(225) 293-1890
NPI assigned
Jan 5, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Ms. Toni H Parkinson
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1179 LA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1400190MedicaidLA

Other names 1

  • Life Source Home Health 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

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

4100 S Sherwood Forest Blvd
Ste 203
Baton Rouge, LA 70816
Phone (225) 293-7773

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2024 Change of OwnershipThis provider was the seller Life Source Home HealthCCN 197019, LA, NPI 1740033752

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1528503174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 S SHERWOOD FOREST BLVD",
            "address_2": "SUITE 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": "SUITE 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": "2017-01-05",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "601-709-1408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400190",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Source Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.