NPIMap

Organization Active NPI

Medical/Healthcare Enterprises International, Inc.

Doing business as Allegiance Home Health Care of West Central Louisiana

  • Home Health Agency
  • Campti, LA
National Provider Identifier
1992716823
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in LA
Legal business name
MEDICAL/HEALTHCARE ENTERPRISES INTERNATIONAL, INC.
Doing business as
Allegiance Home Health Care of West Central Louisiana
Practice address
3117 Hwy 71
Campti, LA 71411
Phone
(318) 527-0104
Fax
(318) 527-0108
NPI assigned
Aug 9, 2006
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Mr. Rock M Bordelon
Title
Owner
Phone
(318) 226-8202

Specialties & licenses 1

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

Addresses

Primary practice location

3117 Hwy 71
Campti, LA 71411

Mailing address

3117 Hwy 71
Campti, LA 71411
Phone (318) 527-0104

Other practice location 1

395 S Capitol St
Many, LA 71449-3049
Phone (318) 527-0104

Other identifiers 1

IdentifierTypeStateIssuer
1401706MedicaidLA

Other names 1

  • Allegiance Home Health Care of West 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
O20170227002407 LA Part A Provider - Home Health Agency 2163706771 Practice locations: Campti, LA; Many, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992716823. Details of each certification follow.

Home health agency certification: CCN 197170

Legal name
MEDICAL/HEALTHCARE ENTERPRISES INTERNATIONAL, INC.
Doing business as
ALLEGIANCE HOME HEALTH OF WEST CENTRAL LOUISIANA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 24, 1984
Last certification
Oct 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
3117 Highway 71
Campti, LA 71411

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allegiance Home Health of West Central LouisianaCCN 197170 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jan 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3117 Highway 71
Campti, LA 71411
Phone (318) 527-0104

1800 Buckner St
Ste 220
Shreveport, LA 71101
Phone (318) 798-7777

9400 Village Green Dr
Shreveport, LA 71115
Phone (318) 798-7777

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Allegiance Home Health of West Central Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Direct Ownership Interest Jul 16, 2021 100%
Rock Bordelon Individual 5% Or Greater Indirect Ownership Interest Jul 16, 2021 100%
Corporate Officer Jul 16, 2021
Corporate Director Jul 16, 2021
Allegiance Healthcare of Louisiana, LLC Organization, Bossier City, LA LLC 5% Or Greater Indirect Ownership Interest Jan 31, 2022 100%
Ginger Ezell Individual Corporate OfficerDirector of Revenue Cycle Sep 13, 2021
Operational/Managerial Control Sep 13, 2021
Joseph Monsour Individual Corporate OfficerChief Executive Officer Jul 16, 2021
Operational/Managerial ControlChief Executive Officer Jul 16, 2021
Allegiance Home Health LLC Organization, Bossier City, LA LLC Operational/Managerial Control Jul 16, 2021 100%

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 12

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1992716823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 HWY 71",
            "city": "CAMPTI",
            "state": "LA",
            "postal_code": "71411",
            "telephone_number": "318-527-0104",
            "fax_number": "318-527-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 HWY 71",
            "city": "CAMPTI",
            "state": "LA",
            "postal_code": "71411",
            "telephone_number": "318-527-0104",
            "fax_number": "318-527-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 S Capitol St",
            "address_purpose": "LOCATION",
            "city": "Many",
            "state": "LA",
            "postal_code": "714493049",
            "country_code": "US",
            "telephone_number": "318-527-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL/HEALTHCARE ENTERPRISES INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-05-16",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-226-8202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401706",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiance Home Health Care of West Central Louisiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allegiance Home Health Care of West Central Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campti, LA

Sources for this page

Verify at the official NPI Registry.