Active NPI
Pateicia Ann McCorkle
- Home Health Agency
- Baton Rouge, LA
National Provider Identifier
1568624757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- SIL20075
- Practice address
- 7262 Poinsettia Dr
Baton Rouge, LA 70812-1861 - Phone
- (225) 288-6931
- Fax
- (225) 935-2209
- NPI assigned
- Jun 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | SIL20075 | LA | Primary |
Addresses
Primary practice location
7262 Poinsettia Dr
Baton Rouge, LA 70812-1861
Mailing address
7185 Scobell Dr
Suite C
Baton Rouge, LA 70806-1502
Phone (225) 935-2208
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24 | Medicaid | LA | |
| 89 | Medicaid | LA | |
| 03 | Medicaid | LA | |
| 82 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SIL20075 | LA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCorkle Sunrise Pca/Sil,LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Attendant Care Provider
- Baton Rouge, LA
- NPI 1609038850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214611200000",
"number": "1568624757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7185 SCOBELL DR",
"address_2": "SUITE C",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061502",
"telephone_number": "225-935-2208",
"fax_number": "225-935-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7262 POINSETTIA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708121861",
"telephone_number": "225-288-6931",
"fax_number": "225-935-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORKLE",
"first_name": "PATEICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-28",
"last_updated": "2008-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": "SIL20075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.