NPIMap

Organization Active NPI

Hospital Service District 1 of East Baton Rouge Parish

Doing business as Lane Regional Medical Center

  • Home Health Agency
  • Zachary, LA
National Provider Identifier
1992718605
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Doing business as
Lane Regional Medical Center
Lane Regional Medical Center- Home Health
Practice address
6300 Main Street
Zachary, LA 70791-4099
Phone
(225) 658-4300
NPI assigned
Aug 14, 2006
Last updated
Jan 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Authorized official

Name
Phil Hacker
Title
PFS Director
Phone
(225) 658-4505

Specialties & licenses 1

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

Addresses

Primary practice location

6300 Main Street
Zachary, LA 70791-4099

Mailing address

6300 Main Street
Zachary, LA 70791-4099
Phone (225) 658-4300

Other identifiers 2

IdentifierTypeStateIssuer
1401498MedicaidLA
33644OtherLABLUE CROSS HOME HEALTH

Other names 2

  • LANE REGIONAL MEDICAL CENTER Doing business as
  • Lane Regional Medical Center- Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000203 LA Part A Provider - Home Health Agency 0941191902 Practice locations: Zachary, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992718605. Details of each certification follow.

Home health agency certification: CCN 197149

Legal name
HOSPITAL SERVICE DISTRICT #1 OF EAST BATON ROUGE PARISH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 1, 1984
Last certification
Jan 10, 2020
Ownership / control type
Government Operated
Organization structure
CorporationProprietary
Incorporated
Sep 1, 1966 in LA
Enrollment address
6300 Main Street
Lane Regional Medical Center
Zachary, LA 70791-4037

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lane Home Health an Affiliate of Lane Reg MedicalCCN 197149 · All quality measures
Overall star rating
3 of 5
Ownership
Government Operated
Certified
Nov 1, 1984
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
19D0880060Lane Home Health6300 Main St, Zachary, LA 70791Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hospital Service District 121 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Hospital Service District #1 of East Baton Rouge Parish Organization, Zachary, LA Operational/Managerial Control Jan 1, 2006
Frank Ashton Corcoran Individual Corporate OfficerChief Executive Officer Jan 13, 2025
Operational/Managerial ControlChief Executive Officer Jan 13, 2025 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lane Regional Medical CenterZachary, LA, CCN 19T020 Hospital Operational/Managerial Control Jan 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1992718605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 MAIN STREET",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914099",
            "telephone_number": "225-658-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 MAIN STREET",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914099",
            "telephone_number": "225-658-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "HACKER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "225-658-4505"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1401498",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOME HEALTH",
            "identifier": "33644",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANE REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lane Regional Medical Center- Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.