Organization Active NPI

Central Home Health, LLC

  • Home Health Agency
  • Metairie, LA
National Provider Identifier
1730187972
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1008 Issued in LA
Legal business name
CENTRAL HOME HEALTH, LLC
Practice address
2805 Athania Pkwy Ste B
Metairie, LA 70002-5905
Phone
(504) 455-5959
Fax
(504) 455-8997
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Mr. Brian Wesley Bruno, LPN
Title
Adminstrator
Phone
(504) 455-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1008 LA Primary

Addresses

Primary practice location

2805 Athania Pkwy Ste B
Metairie, LA 70002-5905

Mailing address

2805 Athania Pkwy
Metairie, LA 70002-5905
Phone (504) 455-5959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615000965 LA Part A Provider - Home Health Agency 2961313473 Practice locations: New Orleans, LA

Home health agency certification: CCN 197779

Legal name
CENTRAL HOME HEALTH LLC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 17, 2003
Last certification
Nov 17, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 4, 2003 in LA
Enrollment address
8070 Crowder Blvd
Ste B
New Orleans, LA 70127-1063
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Central Home Health, LLCCCN 197779 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 17, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2133562Central Home Health, LLC8070 Crowder Blvd, Suite B, New Orleans, LA 70127Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

302 Girod St
Mandeville, LA 70448
Phone (504) 455-5959

2805 Athania Pkwy
Metairie, LA 70002

2805 Athania Pkwy
Ste B
Metairie, LA 70002
Phone (504) 455-5959

8070 Crowder Blvd
#B
New Orleans, LA 70127
Phone (504) 242-1577

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
Samara Davis Individual 5% Or Greater Direct Ownership Interest100 Jun 1, 2018
Operational/Managerial ControlAdministrator/Don Jun 1, 2018 100%
OtherCeo Jun 1, 2018 100%
Central Home Health LLC. Organization, New Orleans, LA LLC 5% Or Greater Direct Ownership Interest Jun 11, 2003 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1730187972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 ATHANIA PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025905",
            "telephone_number": "504-455-5959",
            "fax_number": "504-455-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 ATHANIA PKWY STE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025905",
            "telephone_number": "504-455-5959",
            "fax_number": "504-455-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "504-455-5959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.