NPIMap

Organization Active NPI

Central Louisiana Home Health Care LLC

Doing business as Allegiance Home Health of East Central Louisiana

  • Home Health Agency
  • Ville Platte, LA
National Provider Identifier
1902892797
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTRAL LOUISIANA HOME HEALTH CARE LLC
Doing business as
Allegiance Home Health of East Central Louisiana
Practice address
804 E Main St
Ville Platte, LA 70586-4618
Phone
(337) 252-6400
Fax
(337) 252-6402
NPI assigned
Sep 27, 2005
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Rhonda Mayo
Title
Administrator
Phone
(337) 252-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

804 E Main St
Ville Platte, LA 70586-4618

Mailing address

804 E Main St
Ville Platte, LA 70586-4618
Phone (337) 252-6400

Other practice location 1

1890 Hwy 165 South
Oakdale, LA 71463
Phone (318) 386-8020

Other identifiers 1

IdentifierTypeStateIssuer
1401323MedicaidLA

Other names 1

  • Allegiance Home Health of East Central Louisiana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000422 LA Part A Provider - Home Health Agency 6305993072 Practice locations: Marksville, LA; Oakdale, LA; Ville Platte, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902892797. Details of each certification follow.

Home health agency certification: CCN 197199

Legal name
CENTRAL LOUISIANA HOME HEALTH CARE LLC
Doing business as
ALLEGIANCE HOME HEALTH OF EAST CENTRAL LOUISIANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 20, 1985
Last certification
Mar 13, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 31, 2007 in LA
Enrollment address
804 E Main St
Ville Platte, LA 70586-4618

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allegiance Home Health of East Central LouisianaCCN 197199 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 20, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1098173Central Louisiana Home Health Care804 E Main Street, Ville Platte, LA 70586Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

940 W Bontemps St
Ste B
Marksville, LA 71351
Phone (318) 386-8020

1890 Highway 165 S
Oakdale, LA 71463
Phone (318) 386-8020

615 S Court St
Opelousas, LA 70570
Phone (337) 381-2146

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Vidrine Group LLC Organization, Oakdale, LA LLC 5% Or Greater Indirect Ownership Interest Mar 31, 2022 5%
Earl Davis Development, LLC Organization, Oakdale, LA LLC 5% Or Greater Indirect Ownership Interest Mar 31, 2022 5%
Charles R Vidrine Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2022 5%
Rock Bordelon Individual 5% Or Greater Indirect Ownership Interest Jan 31, 2022 60%
Corporate Director Apr 1, 2021
Allegiance Home Health of East Central LLC Organization, Bossier City, LA LLC 5% Or Greater Direct Ownership Interest Apr 1, 2021 100%
Allegiance Healthcare of Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Indirect Ownership Interest Mar 31, 2022 60%
Robert B Fresh Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2022 5%
Ginger Ezell Individual Corporate OfficerRevenue Cycle Director Sep 13, 2021
Operational/Managerial Control Sep 13, 2021
Patrick Savoy Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2022 5%
Joseph Monsour Individual Corporate OfficerChief Executive Officer Apr 1, 2021
Operational/Managerial ControlChief Executive Officer Apr 1, 2021
Brouillette Holdings, LLC Organization, Pineville, LA LLC 5% Or Greater Indirect Ownership Interest Mar 31, 2022 10%
Allegiance Home Health LLC Organization, Bossier City, LA LLC Operational/Managerial Control Apr 1, 2021
James L Bordelon Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2022 10%
Beau Brouillette Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2022 10%
Thomas J Davis Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2022 5%
Medfresh, LLC Organization, Woodworth, LA LLC 5% Or Greater Indirect Ownership Interest Mar 31, 2022 5%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 36

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1902892797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864618",
            "telephone_number": "337-252-6400",
            "fax_number": "337-252-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864618",
            "telephone_number": "337-252-6400",
            "fax_number": "337-252-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 Hwy 165 South",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "LA",
            "postal_code": "71463",
            "country_code": "US",
            "telephone_number": "318-386-8020",
            "fax_number": "318-386-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL LOUISIANA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-252-6400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401323",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiance Home Health of East Central Louisiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allegiance Home Health of East Central Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.