Regional Healthcare-Lake Charles, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REGIONAL HEALTHCARE-LAKE CHARLES, LLC

Doing business as

At Home Compassionate Care

Practice address

122 Arlington Dr
Lake Charles, LA 70605

Phone

(337) 477-7083

Fax

(337) 478-4414

NPI assigned

Apr 7, 2016

Last updated

Aug 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Eugene Jeter, M.B.A.

Title

Member/Manager

Phone

(337) 477-7083

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• At Home Compassionate Care Doing business as

Tax ID family

At Home Compassionate Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regional Healthcare-Lake Charles, LLC

  dba At Home Compassionate Care

  • Personal Care Attendant
  • Lake Charles, LA
  • NPI 1013387612
  NPD tax ID

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1881058766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ARLINGTON DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055702",
            "telephone_number": "337-477-7083",
            "fax_number": "337-478-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ARLINGTON DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-477-7083",
            "fax_number": "337-478-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTHCARE-LAKE CHARLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "337-477-7083",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014591",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009075",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Compassionate Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "At Home Compassionate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Freddie Ann Regan
• Tina Kadlubar Reggie
• Regional Healthcare Services - Southwest, LLC
• Regional Healthcare Services - Southwest, LLC
• Regional Healthcare-Lake Charles, LLC (At Home Compassionate Care)
• Regional Physicians Network
• Regional Physicians Network-Lake Charles Inc
• Rehab One, LLC
• Rehabilitation and Rheumatology Associates, LLC
• Rehabilitation Services of Southwest Louisiana, LLC

• In Home Supportive Care Agency in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.