Baton Rouge Homecare, LLC
Organization Active NPI Home Health Agency · Gonzales, LA
NPI 1770530651 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1770530651
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 991 (LA)
- Legal business name
- BATON ROUGE HOMECARE, LLC
- Practice address
- 908 N Airline Hwy Ste a
Gonzales, LA 70737-3021 - Phone
- (225) 450-3294
- Fax
- (225) 450-3298
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Nicholas Gachassin III
- Title
- Executive Vice President
- Phone
- (337) 233-1307
Member organizations 1
Facilities with the same owner 44
Affiliated clinicians 15
-
Paul Cary Aguillard, M.D.
-
William H Baird, M.D.
-
Shawn Hall, M.D.
-
Erica Huston, FNP-C, CSWS
-
Lauren Mannino, FNP-C
-
Robert Moukarzel, M.D.
-
Jean Jacques Saunders, M.D.
-
Latoya R Cameron, CFNP
Medicare Care Compare: Home health agency
- Listed as
- Feliciana Home Health South
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Nov 18, 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 |
|---|---|---|---|
| 19D0889210 | Feliciana Home Health South | Certificate of waiver | May 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Home health agency certification: CCN 197102
- Legal name
- BATON ROUGE HOMECARE, LLC
- Doing business as
- LOUISIANA HOMECARE OF GONZALES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 18, 1983
- Last certification
- Mar 18, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 908 N Airline Hwy
Ste a
Gonzales, LA 70737-3021
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 100% |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Kimberly Seymour |
Corporate Officer | Feb 22, 2023 | |
| Brandi James |
W-2 Managing Employee |
Sep 26, 2021 | |
| Operational/Managerial Control | Sep 26, 2021 | ||
| Wendy S Daigle |
Corporate Director |
Oct 1, 2022 | |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Jun 29, 2001 | 100% |
| Operational/Managerial Control | Aug 25, 2010 | ||
| Joshua Lee Proffitt |
Corporate Officer |
Aug 1, 2012 | |
| Louisiana Health Care Group LLC |
5% Or Greater Direct Ownership Interest | Jun 29, 2001 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060110000330 | LA | Part a Provider - Home Health Agency | 7214950880 | Practice locations: Gonzales, LA |
National Provider Directory
Locations
8490 Picardy Ave
Ste 500B
Baton Rouge, LA 70809
Phone (225) 763-4665
1759 Physicians Park Dr
Ste A
Baton Rouge, LA 70816
Phone (225) 752-0423
826 W Highway 30
Ste C
Gonzales, LA 70737
Phone (225) 412-9019
908 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 450-3294
1215 Independence Blvd
#3
Zachary, LA 70791
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 991 | LA | Yes |
Addresses
Primary practice location
908 N Airline Hwy Ste a
Gonzales, LA 70737-3021
Mailing address
P.O. Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other practice location 1
826 W Highway 30
Suite C
Gonzales, LA 70737-4852
Phone (225) 450-3294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1401021 | Medicaid | LA | |
| 190030360Z | Other | LA | BLUE CROSS BLUE SHIELD OF |
Other names
- Feliciana Home Health South
NPI Registry JSON
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623110400000",
"number": "1770530651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N AIRLINE HWY STE A",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373021",
"telephone_number": "225-450-3294",
"fax_number": "225-450-3298"
}
],
"practiceLocations": [
{
"address_1": "826 W Highway 30",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Gonzales",
"state": "LA",
"postal_code": "707374852",
"country_code": "US",
"telephone_number": "225-450-3294",
"fax_number": "225-450-3298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BATON ROUGE HOMECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A",
"authorized_official_last_name": "GACHASSIN",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "337-233-1307",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": "991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1401021",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "190030360Z",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Feliciana Home Health South",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Feliciana Home Health South",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gonzales, LA
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- Baton Rouge Orthopaedic Clinic
- Baton Rouge Orthopaedic Clinic, LLC
- Bayou Tox, LLC
- Joyce Lashun Bell
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All providers in Gonzales, 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 Jun 8, 2021. 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.