Evangeline Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

44 Issued in LA

Legal business name

EVANGELINE HOME HEALTH AGENCY INC

Practice address

1424 Fuselier Ave
Basile, LA 70515-5583

Phone

(337) 432-5986

Fax

(337) 432-5988

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Bekki Ardoin Miller, RN

Title

Administrator

Phone

(337) 363-5617

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Evangeline Home Health LLC

  • Home Health Agency
  • Basile, LA
  • NPI 1457710659

  Sold to, 2017-08-01

  CMS change of ownership

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1730163247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705860556",
            "telephone_number": "337-363-5617",
            "fax_number": "337-363-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 FUSELIER AVE",
            "city": "BASILE",
            "state": "LA",
            "postal_code": "705155583",
            "telephone_number": "337-432-5986",
            "fax_number": "337-432-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELINE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BEKKI",
        "authorized_official_middle_name": "ARDOIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-363-5617",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400386",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jevin Marc Bordelon, M.D.
• Ronald Joseph Broussard, PHARMACIST
• Shanna M Chaumont, RPH
• CLHG-Acadian LLC
• Sophia Ann Dupre, FNP-C
• Evangeline Home Health LLC
• Richlynn Ledoux Fruge, RPH
• Jo Ann Gay
• Alanna Denise Hebert
• Jena M Roy FNP LLC

• All providers in Basile, LA
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.