Triton Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2203781808 Issued in LA

Legal business name

TRITON HOME HEALTH, LLC

Doing business as

Stat Home Health Southeast, LLC

Practice address

1707 Chantilly Dr Ste B
La Place, LA 70068-2447

Phone

(985) 652-8092

Fax

(985) 652-8117

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Stacy Bland

Title

Billing Team Lead

Phone

(225) 368-3145

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stat Home Health Southeast, LLC Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Stat Home Health Southeast Louisiana LLC

  dba Stat Home Health Triton

  • Home Health Agency
  • Hammond, LA
  • NPI 1881121747

  Sold to, 2017-05-26

  CMS change of ownership

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1588085955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-769-2449",
            "fax_number": "225-368-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CHANTILLY DR STE B",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682447",
            "telephone_number": "985-652-8092",
            "fax_number": "985-652-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITON HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "BILLING TEAM LEAD",
        "authorized_official_telephone_number": "225-368-3145"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "2203781808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401226",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stat Home Health Southeast, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hien Quang Tran, MD
• Phung Kim Tran
• Transport Medical Supply, Inc
• Tanyia Stevens Tregre, PT
• Treziah Health Care
• True Comfort Senior Care LLC
• Heather Tucker
• Herman Davis Tucker Jr., LCSW
• Casandra Kimberlain Tumblin, B.A.
• Ednacia Turner

• Home Health Agency in La Place, LA
• Providers in La Place, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.