Active NPI
Tangi Pines Senior Care, L.L.C
Doing business as Tangi Pines Nursing Center
- Skilled Nursing Facility
- Amite, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 834
- Legal business name
- TANGI PINES SENIOR CARE, L.L.C
- Doing business as
- Tangi Pines Nursing Center
- Practice address
- 709 E North PL
Amite, LA 70422-2307 - Phone
- (985) 748-9464
- Fax
- (985) 748-4404
- NPI assigned
- Apr 14, 2016
- Last updated
- Oct 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kaley W Hill
- Title
- Administrator
- Phone
- (985) 748-9464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 834 | LA | Primary |
Addresses
Primary practice location
709 E North PL
Amite, LA 70422-2307
Mailing address
10746 Hwy 16
Amite, LA 70422
Phone (985) 748-9464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834 | Other | LA | DHH LICENSE |
Other names 1
- Tangi Pines Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160617000379 | LA | Part A Provider - Skilled Nursing Facility | 7113218470 | Practice locations: Amite, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902250129. Details of each certification follow.
Skilled nursing facility certification: CCN 195349
- Legal name
- TANGI PINES SENIOR CARE LLC
- Doing business as
- THE LODGE AT TANGI PINES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1995
- Last certification
- Apr 30, 2025
- Beds
- 100
- Ownership / control type
- Corporation
- Multi-facility organization
- Hometown Healthcare Management
- Organization structure
- LLC
- Incorporated
- Jan 13, 2016 in LA
- Enrollment address
- 10746 Highway 16
Amite, LA 70422-4140 - Nursing home name
- THE LODGE AT TANGI PINES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Lodge at Tangi Pines
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1995
- Medicare certification status
- Active
- Certified beds
- 100
- Penalties (3 years)
- 2
National Provider Directory
National Provider Directory- Tax ID family
- Tangi Pines Nursing Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Amite, LA
- NPI 1740277003
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Bayside Healthcare Center
- Skilled Nursing Facility
- Gretna, LA
- NPI 1598300089
Member Of
-
dba The Lodge at Lane
- Skilled Nursing Facility
- Zachary, LA
- NPI 1285242347
Member Of
Locations
10746 Highway 16
Amite, LA 70422
Phone (985) 748-9464
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Aug 1, 2021 | ||
| Bond Babin | Operational/Managerial Control | Mar 29, 2018 | |
| Adp of the SNF | Mar 29, 2018 | ||
| Adp of the SNF | Dec 11, 2025 | ||
| Adp of the SNF | Aug 1, 2021 | ||
| Adp of the SNF | Dec 11, 2025 | ||
| Adp of the SNF | Aug 1, 2021 | ||
| Champion Management LLC | Indirect Ownership Interest | Mar 1, 2016 | 50% |
| Capital Hill Holdings | Indirect Ownership Interest | Jan 1, 2018 | 50% |
| Kaley Hill | Operational/Managerial Control | Mar 1, 2016 | |
| Adp of the SNF | Aug 1, 2021 | ||
| Indirect Ownership Interest | Mar 1, 2016 | 50% | |
| Hometown Healthcare Management | Direct Ownership Interest | Mar 1, 2016 | 100% |
| Charles R Genovese | Operational/Managerial Control | May 1, 2016 | |
| Adp of the SNF | Mar 1, 2016 | ||
| John P Stagg | Operational/Managerial Control | Mar 1, 2016 | |
| Adp of the SNF | Aug 1, 2021 | ||
| Indirect Ownership Interest | Mar 1, 2016 | 50% |
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Occupational Therapist
- Amite City, LA
- NPI 1740937994
-
- Nephrology Physician
- Covington, LA
- NPI 1356427199
-
- Family Medicine Physician
- Hammond, LA
- NPI 1487823506
Affiliated clinicians 2
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": "1460592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633219200000",
"number": "1902250129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10746 HWY 16",
"city": "AMITE",
"state": "LA",
"postal_code": "70422",
"telephone_number": "985-748-9464",
"fax_number": "985-748-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 E NORTH PL",
"city": "AMITE",
"state": "LA",
"postal_code": "704222307",
"telephone_number": "985-748-9464",
"fax_number": "985-748-4404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANGI PINES SENIOR CARE, L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-14",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "KALEY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "985-748-9464",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHH LICENSE",
"identifier": "834",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tangi Pines Nursing Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tangi Pines Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amite, LA
- Stewart Transportation LLC
- Tasheka Rena Stewart
- Strawberry Patch Pediatrics LLC (West Oak Family Clinic)
- Brindley Tallia, M.S. CCC-SLP
- Tangi Pines Nursing Center LLC
- Tangipahoa Parish School System
- Tangipahoa Parish School System
- Tangipahoa Voluntary Council on Aging
- Consuela Taylor
- The Culminating Experience Chiropractic Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.