NPIMap

Organization Active NPI

Houma-Amg Specialty Hospital, LLC

  • Long Term Care Hospital
  • Houma, LA
National Provider Identifier
1780943167
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
473 Issued in LA
Legal business name
HOUMA-AMG SPECIALTY HOSPITAL, LLC
Practice address
629 Dunn St
Houma, LA 70360-4707
Phone
(985) 274-0001
Fax
(985) 274-0003
NPI assigned
May 7, 2012
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Jessica L. McGee
Title
Cfo
Phone
(337) 269-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 473 LA Primary

Addresses

Primary practice location

629 Dunn St
Houma, LA 70360-4707

Mailing address

101 La Rue France
Suite 500
Lafayette, LA 70508-3144
Phone (337) 269-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120813000250 LA Part A Provider - Hospital 6103072889 Practice locations: Houma, LA
O20200817000270 LA Part B Supplier - Hospital Department(S) 6103072889 Receives reassigned benefits from 5 practitioners
Practice locations: Houma, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780943167. Details of each certification follow.

Hospital certification: CCN 192037

Legal name
HOUMA-AMG SPECIALTY HOSPITAL LLC
Doing business as
HOUMA-AMG SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
May 31, 2002
Last certification
Nov 19, 2024
Beds
40
Ownership / control type
Private (for profit)
Most recent change of ownership
May 1, 2012 (4 total)
Organization structure
LLCProprietary
Enrollment address
629 Dunn St
Houma, LA 70360-4707
Other Hospital Practice Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Houma - Amg Specialty HospitalCCN 192037 · All quality measures
Ownership
For profit
Certified
May 31, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Beds
40

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
19D1061167Houma - Amg Specialty Hospital629 Dunn Street, Houma, LA 70360AccreditationJun 23, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amg 2 0 Holdco Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 27, 2019 100%
Amg 2 0 LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Apr 18, 2018 100%
Timothy W Howard Individual Corporate OfficerCeo May 1, 2012 100%
Corporate Director Dec 27, 2019 100%
Jessica L McGee Individual Corporate OfficerChief Financial Officer May 1, 2012 25%
Lee Bierhorst Individual W-2 Managing EmployeeHospital Ceo Jun 19, 2026 50%
August J Rantz Individual Corporate OfficerPresident May 1, 2012 100%
Corporate Director Dec 27, 2019 100%
Amg Employee Stock Ownership Plan Organization, Lafayette, LA 5% Or Greater Indirect Ownership Interest Dec 27, 2019 100%

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1780943167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE",
            "address_2": "SUITE 500",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083144",
            "telephone_number": "337-269-9566",
            "fax_number": "337-234-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604707",
            "telephone_number": "985-274-0001",
            "fax_number": "985-274-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUMA-AMG SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-269-9566"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.