Organization Active NPI

Prevail Homecare, LLC

  • Home Health Agency
  • Metairie, LA
National Provider Identifier
1851474316
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
988 Issued in LA
Legal business name
PREVAIL HOMECARE, LLC
Practice address
3445 N Causeway Blvd Ste 706
Metairie, LA 70002
Phone
(504) 302-9511
Fax
(504) 518-6215
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Robyn O Isemann, RN
Title
RN/Administrator
Phone
(504) 302-9511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 988 LA Primary

Addresses

Primary practice location

3445 N Causeway Blvd Ste 706
Metairie, LA 70002

Mailing address

3445 N Causeway Blvd Ste 706
Metairie, LA 70002-3781
Phone (504) 302-9511

Other identifiers 1

IdentifierTypeStateIssuer
1406708MedicaidLA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

36 Commerce Ct
Harahan, LA 70123
Phone 5047337749314

3445 N Causeway Blvd
Ste 706
Metairie, LA 70002
Phone (504) 302-9511

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1851474316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 N CAUSEWAY BLVD STE 706",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023781",
            "telephone_number": "504-302-9511",
            "fax_number": "504-518-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 N CAUSEWAY BLVD STE 706",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-302-9511",
            "fax_number": "504-518-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "ISEMANN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "504-302-9511",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406708",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.