Active NPI
Integrity Home Health Holdings LLC
- Home Health Agency
- Hammond, LA
National Provider Identifier
1740033752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INTEGRITY HOME HEALTH HOLDINGS LLC
- Practice address
- 107 N Linden St
Hammond, LA 70401-3133 - Phone
- (985) 419-1999
- NPI assigned
- Apr 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg A. Deichmann Sr.
- Title
- Ceo
- Phone
- (504) 874-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
107 N Linden St
Hammond, LA 70401-3133
Mailing address
76240 Fauntleroy Rd
Covington, LA 70435-4024
Phone (504) 874-4040
Other practice location 1
1250 SW Railroad Ave Ste 240A
Hammond, LA 70403-5064
Phone (985) 419-1999
Other names 1
- Life Source Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250211000216 | LA | Part A Provider - Home Health Agency | 2163951302 | Practice locations: Hammond, LA |
Home health agency certification: CCN 197019
- Legal name
- INTEGRITY HOME HEALTH HOLDINGS LLC
- Doing business as
- LIFE SOURCE HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 1, 1969
- Last certification
- Feb 20, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 107 N Linden St
Ste B
Hammond, LA 70401-3133
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Life Source Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 1, 1969
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Greg a Deichmann | Corporate Officer | Apr 1, 2024 | |
| W-2 Managing Employee | Apr 1, 2024 | ||
| Integrity Healthcare Management Group LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Angela Deichmann | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 1, 2024 | Change of Ownership | Life Source Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Baton Rouge, LA
- NPI 1528503174
Acquired from, 2024-04-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1740033752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76240 FAUNTLEROY RD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704354024",
"telephone_number": "504-874-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N LINDEN ST",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704013133",
"telephone_number": "985-419-1999"
}
],
"practiceLocations": [
{
"address_1": "1250 SW Railroad Ave Ste 240A",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704035064",
"country_code": "US",
"telephone_number": "985-419-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGRITY HOME HEALTH HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "DEICHMANN",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-874-4040",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Source Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.