A FIRST NAME BASIS HOME CARE (NPI# 1922470061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922470061 |
| Entity Type | Organization |
| Organization Name | A FIRST NAME BASIS HOME CARE |
| Practice Address |
803 W Bayou Pines Dr Suite C Lake Charles LA 70601-7096 |
| Practice Telephone | 3379900300 |
| Mailing Telephone | 3379900300 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | JAKE FACKRELL (CEO) |
| Authorized Official Telephone | 3372334778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 2203782459 | LA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356851679 | A First Name Basis Home Care | In Home Supportive Care | 3327 Jackson St Ste E, Alexandria, LA 71301-4036 | 2017-10-02 |
| 1144730466 | A First Name Basis Home Care | In Home Supportive Care | 1675 Lakeland Dr Ste 203, Jackson, MS 39216-4843 | 2017-10-02 |
| 1215309356 | A First Name Basis Home Care | In Home Supportive Care | 19267 Slemmer Rd, Suite 201, Covington, LA 70433-8984 | 2015-10-28 |
| 1750753893 | A First Name Basis Home Care | In Home Supportive Care | 7909 Wrenwood Blvd, Suite B, Baton Rouge, LA 70809-7713 | 2015-10-28 |
| 1225413354 | A First Name Basis Home Care | In Home Supportive Care | 2014 W Pinhook Rd, Suite 110, Lafayette, LA 70508-8504 | 2015-07-30 |
| 1831755016 | A First Name Basis Home Care | In Home Supportive Care | 3327 Jackson St Ste E, Alexandria, LA 71301-4036 | 2019-05-14 |
| 1225400369 | A First Name Basis Home Care | In Home Supportive Care | 3525 N Causeway Blvd, Suite 835, Metairie, LA 70002-3629 | 2015-10-28 |
| Street Address |
803 W BAYOU PINES DR SUITE C |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730357583 | David Paul Phillips | Counselor | 803 W Bayou Pines Dr, Suite F, Lake Charles, LA 70601-7096 | 2008-02-14 |
| 1639621436 | Paricia King | Counselor | 803 W Bayou Pines Dr, Lake Charles, LA 70601 | 2016-10-27 |
| 1316491137 | Rebecca Knott | Counselor | 803 W Bayou Pines Dr, Lake Charles, LA 70601-7096 | 2016-08-10 |
| 1063862597 | Jaquetta Nicole Randle | Counselor | 803 W Bayou Pines Dr, Suite F, Lake Charles, LA 70601-7096 | 2016-06-15 |
| 1932557329 | Tamela Mayes | Counselor | 803 W Bayou Pines Dr, Lake Charles, LA 70601-7096 | 2016-05-26 |
| 1578919221 | Charles Lee Iv | Counselor | 803 W Bayou Pines Dr, Lake Charles, LA 70601-7096 | 2016-05-12 |
| 1588010367 | Jason Ledoux | Counselor | 803 W Bayou Pines Dr, Suite F, Lake Charles, LA 70601 | 2016-05-10 |
| 1871949776 | Christopher Billiot | Counselor | 803 W Bayou Pines Dr, Suite F, Lake Charles, LA 70601-7096 | 2016-05-10 |
| 1184070229 | Elicia Sanders | Counselor | 803 W Bayou Pines Dr, Lake Charles, LA 70601-7096 | 2016-05-08 |
| 1952757072 | Shelley Chretian | Counselor | 803 W Bayou Pines Dr, Lake Charles, LA 70601-7096 | 2016-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286698 | Southwest Caregivers LLC | In Home Supportive Care | 622 E College St, Lake Charles, LA 70607-1854 | 2019-10-09 |
| 1255718011 | Regional Healthcare Services - Southwest, LLC | In Home Supportive Care | 710 W Prien Lake Rd Ste 206, Lake Charles, LA 70601-8351 | 2015-04-30 |
| 1952703217 | Direct Care Inc | In Home Supportive Care | 3006 Common St, Lake Charles, LA 70601-8537 | 2014-09-18 |
| 1689983223 | Calcasieu Association for Retarded Citizens | In Home Supportive Care | 4100 Senator J. Bennett Johnston Avenue, Lake Charles, LA 70615-5166 | 2010-09-30 |
| 1760795116 | Calcasieu Assocaiton for Retarded Citizens | In Home Supportive Care | 4100 Sen J Bennett Johnston Ave, Lake Charles, LA 70615-5166 | 2010-07-14 |
| 1962729962 | Olga Lovinia Antoine | In Home Supportive Care | 133 Cookie Ln, Lake Charles, LA 70615-3003 | 2010-04-29 |
| 1477707586 | D N G Company L.L.C. | In Home Supportive Care | 2206 N. Petite Meadow Dr., Lake Charles, LA 70605 | 2008-11-17 |
| 1578692562 | Leading Health Care of La | In Home Supportive Care | 3461 5th Avenue, Lake Charles, LA 70607 | 2007-03-05 |
| 1679132484 | Caring Hands LLC | In Home Supportive Care | 134 Arlington Dr, Lake Charles, LA 70605-5702 | 2019-06-06 |
| 1154883833 | Caring Hands LLC | In Home Supportive Care | 134 Arlington Dr, Lake Charles, LA 70605-5702 | 2019-04-02 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.