NPIMap

Organization Active NPI

Trucare Home Health West LLC

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1932863917
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRUCARE HOME HEALTH WEST LLC
Practice address
2015 E 70TH St Ste a
Shreveport, LA 71105-5305
Phone
(318) 281-0078
Fax
(318) 281-2753
NPI assigned
Oct 26, 2021
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Darlene Richard
Title
Director of Reimbursement
Phone
(318) 281-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2015 E 70TH St Ste a
Shreveport, LA 71105-5305

Mailing address

1523 Texas Ave
Bastrop, LA 71220-4043
Phone (318) 281-0078

Other identifiers 1

IdentifierTypeStateIssuer
1400203MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220815002949 LA Part A Provider - Home Health Agency 9133507957 Practice locations: Shreveport, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932863917. Details of each certification follow.

Home health agency certification: CCN 197020

Legal name
TRUCARE HOME HEALTH WEST, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 7, 1970
Last certification
Feb 12, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 14, 2021 in LA
Enrollment address
2015 E 70TH St
Ste a
Shreveport, LA 71105-5305

Care Compare: Home health agency

Medicare Care Compare
Listed as
Trucare Home Health West, LLCCCN 197020 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 7, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2015 E 70th St
Ste A
Shreveport, LA 71105
Phone (318) 281-0078

2020 E 70th St
Ste 200
Shreveport, LA 71105

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Charles Gladney Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 76%
Trucare Home Health, LLC Organization, Bastrop, LA LLC, Medical provider/supplier, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2022 100%
Delta Healthcare Management, LLC Organization, Bastrop, LA LLC, Management services company, For-profit Operational/Managerial Control Feb 1, 2022 100%
Lauren Rogers Individual Corporate OfficerCoo Feb 1, 2020 100%
Operational/Managerial ControlCoo Feb 1, 2020 100%
Matthew Lyon Individual Operational/Managerial ControlHomecare Manager Feb 1, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 4

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

Change-of-ownership history 1

DateEventCounterparty
Feb 1, 2022 Change of OwnershipThis provider was the buyer Professional Home Health Services of CaddoCCN 197020, LA, NPI 1407853641

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1932863917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 TEXAS AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E 70TH ST STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055305",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE HOME HEALTH WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "318-281-0078"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400203",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.