Organization Active NPI

Tangi Pines Senior Care, L.L.C

Doing business as Tangi Pines Nursing Center

  • Skilled Nursing Facility
  • Amite, LA
National Provider Identifier
1902250129
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
834 Issued in LA
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
834OtherLADHH LICENSE

Other names 1

  • Tangi Pines Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 PinesCCN 195349 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10095.6 residents per day on average
Penalties (3 years)
2Fines totaling $127,180

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Tangi Pines Nursing Center2 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.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Organization LLC, For-profit Adp of the SNF Aug 1, 2021
Bond Babin Individual Operational/Managerial Control Mar 29, 2018
Adp of the SNF Mar 29, 2018
Organization, Baton Rouge, LA LLC, Consulting firm, For-profit Adp of the SNF Dec 11, 2025
Organization LLC, For-profit Adp of the SNF Aug 1, 2021
Organization, Denham Springs, LA Corporation, For-profit Adp of the SNF Dec 11, 2025
Organization, Zachary, LA LLC, For-profit Adp of the SNF Aug 1, 2021
Champion Management LLC Organization LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2016 50%
Capital Hill Holdings Organization LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 1, 2018 50%
Kaley Hill Individual Operational/Managerial Control Mar 1, 2016
Adp of the SNF Aug 1, 2021
Indirect Ownership Interest Mar 1, 2016 50%
Hometown Healthcare Management Organization, Zachary, LA LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Mar 1, 2016 100%
Charles R Genovese Individual Operational/Managerial Control May 1, 2016
Adp of the SNF Mar 1, 2016
John P Stagg Individual 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.

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

Sources for this page

Verify at the official NPI Registry.