Organization Active NPI

Family Homecare, Inc.

  • Home Health Agency
  • Metairie, LA
National Provider Identifier
1871599571
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
560 Issued in LA
Legal business name
FAMILY HOMECARE, INC.
Practice address
3636 S I 10 Service Rd W Ste 206
Metairie, LA 70001-6418
Phone
(504) 835-0934
Fax
(504) 835-0165
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Mrs. Davelynn B Melito, CHCE
Title
Assistant Administrator
Phone
(504) 835-0934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 560 LA Primary

Addresses

Primary practice location

3636 S I 10 Service Rd W Ste 206
Metairie, LA 70001-6418

Mailing address

3636 S I 10 Service Rd W Ste 206
Metairie, LA 70001-6418
Phone (504) 835-0934

Other identifiers 2

IdentifierTypeStateIssuer
1404381MedicaidLA
34737OtherLABCBS PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hr@familyhomeare.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000573 LA Part A Provider - Home Health Agency 8820069990 Practice locations: Metairie, LA

Home health agency certification: CCN 197558

Legal name
FAMILY HOMECARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 2, 1993
Last certification
Jun 18, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 3, 1993 in LA
Enrollment address
3636 S I-10 Service Road W
Suite 206
Metairie, LA 70001-6418
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Family Homecare, Inc.CCN 197558 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 2, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3616 S I 10 Service Rd W
Ste 106
Metairie, LA 70001
Phone (504) 835-0934

3636 S I 10 Service Rd W
Ste 206
Metairie, LA 70001
Phone (504) 835-0934

3636 S I 10 Service Rd W
Ste 310
Metairie, LA 70001

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Gina Ragland Individual 5% Or Greater Direct Ownership Interest Jun 3, 1993
General Partnership InterestOwner Aug 3, 2004 100%
Corporate OfficerPresident Jun 3, 1993
Corporate Director Aug 3, 2004
Davelynn Melito Individual W-2 Managing EmployeeBilling Specialist Jul 21, 2004 10%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1871599571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 S I 10 SERVICE RD W STE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016418",
            "telephone_number": "504-835-0934",
            "fax_number": "504-835-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 S I 10 SERVICE RD W STE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016418",
            "telephone_number": "504-835-0934",
            "fax_number": "504-835-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "MELITO",
        "authorized_official_first_name": "DAVELYNN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "504-835-0934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1404381",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "34737",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hr@familyhomeare.net",
            "affiliation": "N",
            "endpointDescription": "Familyhomecare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3636 S I 10 Service Rd W Ste 206",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700016418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.