NPIMap

Organization Active NPI

Lagniappe Homecare Northern Louisana Inc

  • Home Health Agency
  • Winnfield, LA
National Provider Identifier
1609844596
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
245 Issued in LA
Legal business name
LAGNIAPPE HOMECARE NORTHERN LOUISANA INC
Practice address
206 N Bevill St
Winnfield, LA 71483-3231
Phone
(318) 628-3807
Fax
(318) 628-3818
NPI assigned
Mar 8, 2006
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Mrs. Maureen J Wise
Title
Adminsitrator
Phone
(318) 628-3807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 245 LA Primary

Addresses

Primary practice location

206 N Bevill St
Winnfield, LA 71483-3231

Mailing address

206 N Bevill St
Winnfield, LA 71483-3231
Phone (318) 628-3807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120316000534 LA Part A Provider - Home Health Agency 4880853415 Practice locations: Ruston, LA; Winnfield, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609844596. Details of each certification follow.

Home health agency certification: CCN 197197

Legal name
LAGNIAPPE HOMECARE NORTHERN LOUISANA INC
Doing business as
LAGNIAPPE HOMECARE NORTHERN LOUISIANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 21, 1986
Last certification
Jul 15, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 1, 1986 in LA
Enrollment address
2310 Commons Court
Ste 2W
Ruston, LA 71270

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lagniappe Homecare Northern LouisianaCCN 197197 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Feb 21, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2310 Common Ct
Ste 2W
Ruston, LA 71270
Phone (318) 202-2730

206 N Bevill St
Winnfield, LA 71483
Phone (318) 628-3807

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Teddy R Price Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2018 100%
Corporate DirectorDir/Ceo Feb 1, 2018 100%
Operational/Managerial ControlDir/Ceo100 Feb 1, 2018
Lagniappe Health Corporation Organization, Winnfield, LA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Feb 1, 2018 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1609844596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N BEVILL ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833231",
            "telephone_number": "318-628-3807",
            "fax_number": "318-628-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N BEVILL ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833231",
            "telephone_number": "318-628-3807",
            "fax_number": "318-628-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGNIAPPE HOMECARE NORTHERN LOUISANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "318-628-3807",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnfield, LA

Sources for this page

Verify at the official NPI Registry.