Organization Active NPI

Modern Home Health, Inc.

  • Home Health Agency
  • Hammond, LA
National Provider Identifier
1912904707
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
710 Issued in LA
Legal business name
MODERN HOME HEALTH, INC.
Practice address
15781 Professional PLZ
Hammond, LA 70403-1452
Phone
(985) 429-0210
Fax
(985) 429-2635
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
David Joseph Martin
Title
Owner/Manager
Phone
(504) 491-4988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 710 LA Primary

Addresses

Primary practice location

15781 Professional PLZ
Hammond, LA 70403-1452

Mailing address

15781 Professional PLZ
Hammond, LA 70403-1452
Phone (985) 429-0210

Other identifiers 1

IdentifierTypeStateIssuer
1405507MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090813000792 LA Part A Provider - Home Health Agency 5597819250 Practice locations: Hammond, LA

Home health agency certification: CCN 197667

Legal name
MODERN HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 14, 1994
Last certification
Oct 23, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 1, 2012 in LA
Enrollment address
15781 Professional PLZ
Hammond, LA 70403-1452

All disclosed owners & managing parties 10

Medicare enrollment files

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

NameRoleSinceShare
Superior Health Enterprises, LLC Organization, Baton Rouge, LA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 26, 2024 100%
Lynda Williams Individual W-2 Managing EmployeeBilling Manager Apr 1, 2021
Melissa Peairs Individual W-2 Managing EmployeeAdministrator Apr 1, 2021
Superior Health Buyer, LLC Organization, Baton Rouge, LA Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 26, 2024 100%
Superior Health Holdings Inc Organization, Wilmington, DE Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2021 100%
RCP Superior Aggregator, LLC Organization, Wayne, PA Created for acquisition, LLC, For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 26, 2024 96.93%
Board of Regents of the University of Texas System Organization, Austin, TX Non-profit 5% Or Greater Indirect Ownership Interest Dec 26, 2024 20.13%
Superior Health Parent, LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2021 100%
State of Montana Board of Investments Organization, Helena, MT Non-profit 5% Or Greater Indirect Ownership Interest Dec 26, 2024 5.37%
David Joseph Martin Individual Corporate OfficerCorporate Chief Executive Officer Apr 1, 2021

National Provider Directory

National Provider Directory

Locations

900 W Morris Ave
Ste 5
Hammond, LA 70403
Phone (985) 429-0210

42078 Veterans Ave
Ste 12
Hammond, LA 70403
Phone (985) 429-0210

Facilities with the same owner 8

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

Affiliated clinicians 35

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

View all 35

Care Compare: Home health agency

Medicare Care Compare
Listed as
Modern Home Health, IncCCN 197667
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 14, 1994
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
19D2058027Modern Home Health15781 Professional Plaza, Hammond, LA 70403Certificate of waiverApr 25, 2027

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1912904707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15781 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-429-0210",
            "fax_number": "985-429-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15781 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-429-0210",
            "fax_number": "985-429-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "504-491-4988"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1405507",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.