Louisiana Homecare of Slidell, LLC
Organization Active NPI Home Health Agency · Slidell, LA
NPI 1760439657 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1760439657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 998 (LA)
- Legal business name
- LOUISIANA HOMECARE OF SLIDELL, LLC
- Practice address
- 660 Oak Harbor Blvd Ste 100
Slidell, LA 70458-8863 - Phone
- (985) 649-4990
- Fax
- (985) 649-3507
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicholas Gachassin III
- Title
- Executive Vice President
- Phone
- (337) 233-1307
Owners & managing parties with NPI records 2
Member of 1
Facilities with the same owner 46
Affiliated clinicians 35
-
Andrew Blaine Adams, M.D.
-
Ryan D Arnold, M.D.
-
Matthew Joseph Bassett, PA-C
-
Michael D Casey, M.D.
-
Marie Delvalle-Mahoney, M.D.
-
Rory J Duffour, M.D.
-
Aunjel Faucheux, FNP
-
Simon Finger, M.D.
-
Christy Graves, M.D.
-
Amy Hammons, M.D.
-
Miyoshi Lizette Henry, M.D.
-
Eunjin Kim, FNP
-
Stacy Lynn Mitchell, FNP-C
-
Willard Anson Moore III, M.D.
-
Craig Paul Naccari Jr., MBBS
Medicare Care Compare: Home health agency
- Listed as
- SMH-Ochsner Home Health of Slidell
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Dec 7, 1983
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0954916 | SMH-Ochsner Home Health of Slidell | Certificate of waiver | Dec 10, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Home health agency certification: CCN 197104
- Legal name
- LOUISIANA HOMECARE OF SLIDELL LLC
- Doing business as
- SMH-OCHSNER HOME HEALTH OF SLIDELL
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 7, 1983
- Last certification
- Jul 12, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 18, 2002 in LA
- Enrollment address
- 660 Oak Harbor Blvd
Ste 100
Slidell, LA 70458-8863
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 67% |
| Slidell Memorial Hospital |
5% Or Greater Direct Ownership Interest | Jan 1, 2003 | 33% |
| Marcus Donavon Macip |
Corporate Officer | Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer | Feb 22, 2023 | |
| Gary M Hendricks |
W-2 Managing Employee |
May 19, 2014 | |
| Operational/Managerial Control |
May 19, 2014 | ||
| Wendy S Daigle |
Corporate Director |
Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2003 | 67% |
| Joshua Lee Proffitt |
Corporate Officer |
Aug 1, 2012 | |
| Louisiana Health Care Group LLC |
5% Or Greater Direct Ownership Interest | Jan 1, 2003 | 67% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051014000532 | LA | Part a Provider - Home Health Agency | 9931018348 | Practice locations: Slidell, LA |
National Provider Directory
Locations
908 N Airline Hwy
#A
Gonzales, LA 70737
501 Robert Blvd
Ste 300
Slidell, LA 70458
Phone (985) 649-4990
660 Oak Harbor Blvd
Ste 100
Slidell, LA 70458
Phone (985) 649-4990
2990 Gause Blvd E
Ste B
Slidell, LA 70461
Phone (985) 649-4990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 998 | LA | Yes |
Addresses
Primary practice location
660 Oak Harbor Blvd Ste 100
Slidell, LA 70458-8863
Mailing address
P.O. Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other practice location 1
2990 Gause Blvd E
Suite B
Slidell, LA 70461
Phone (985) 649-4990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190030682Z | Other | LA | BLUE CROSS BLUE SHIELD OF |
| 1401048 | Medicaid | LA |
Other names
- SMH-Ochsner Home Health of Slidell
Other providers in Slidell, LA
- Louisiana Anesthesia Partners, LLC
- Louisiana CVS Pharmacy LLC
- Louisiana CVS Pharmacy, L.L.C.
- Louisiana CVS Pharmacy, L.L.C.
- Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de
- Louisiana Therapy and Wellness Center
- Kristin Louviere
- Nichole Love-Grove
- Jamie Tiffany Love
- Loving Choices Lactation Equipment & Services, LLC
All providers in Slidell, LA · Home Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.