HOMER MEMORIAL HOSPITAL (NPI# 1295833713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295833713 |
| Entity Type | Organization |
| Organization Name | HOMER MEMORIAL HOSPITAL |
| Other Organization Name | CLAIBORNE MEMORIAL MEDICAL CENTER |
| Practice Address |
620 E College St Homer LA 71040-3202 |
| Practice Telephone | 3189272024 |
| Practice Fax Number | 3189273158 |
| Mailing Telephone | 3189272024 |
| Mailing Fax Number | 3189273158 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MRS. KRISTIE COPELAND (CNO) |
| Authorized Official Telephone | 3189272024 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | Y |
| Parent Organization Name | HOMER MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1705802 | 05 |
| Other Name | Type Code |
|---|---|
| Claiborne Memorial Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
| 1831183748 | Homer Memorial Hospital | General Acute Care Hospital | 620 East College St, Homer, LA 71040-3202 | 2005-09-07 |
| 1518061522 | Homer Memorial Hospital | Home Health | 620 E College St, Homer, LA 71040-3202 | 2006-09-11 |
| 1548364961 | Homer Memorial Hospital | Medicare Defined Swing Bed Unit | 620 E College St, Homer, LA 71040-3202 | 2006-09-08 |
| Street Address |
620 E COLLEGE ST |
| City | HOMER |
| State | LA |
| Zip Code | 71040-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629064019 | Harold David Tyler | General Practice | 620 E College St, Homer, LA 71040-3202 | 2005-09-21 |
| 1811304074 | Ekara N Wafer-mendenhall | Nurse Practitioner | 620 E College St, Homer, LA 71040-3202 | 2014-07-18 |
| 1568675734 | Webster Anesthesiology Associates, LLC | Nurse Anesthetist, Certified Registered | 620 E College St, Homer, LA 71040-3202 | 2007-05-07 |
| 1518061522 | Homer Memorial Hospital | Home Health | 620 E College St, Homer, LA 71040-3202 | 2006-09-11 |
| 1548364961 | Homer Memorial Hospital | Medicare Defined Swing Bed Unit | 620 E College St, Homer, LA 71040-3202 | 2006-09-08 |
| 1245268648 | James Robert Kemmerly | Specialist | 620 E College St, Homer, LA 71040-3202 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
| 1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
| 1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
| 1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
| 1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
| 1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
| 1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
| Find all providers in zip 71040 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971133 | Start Corporation | Psychiatric Unit | 23251 S Robin Road, Suite 102, Mandeville, LA 70448-7044 | 2020-10-26 |
| 1134365216 | Rural Healthcare Developers of Louisiana LLC | Psychiatric Unit | 2837 Ernest St, Lake Charles, LA 70601-8408 | 2008-12-19 |
| 1831342336 | Sterlington Critical Access Hospital, LLC | Psychiatric Unit | 111 La Hwy 2, Sterlington, LA 71280-3009 | 2008-10-28 |
| 1548452535 | Children's Hospital | Psychiatric Unit | 210 State St Bldg 10, New Orleans, LA 70118-5735 | 2007-08-14 |
| 1649460122 | Hood Memorial Hospital | Psychiatric Unit | 301 West Walnut Street, Amite, LA 70422 | 2007-07-31 |
| 1104980473 | American Legion Hospital | Psychiatric Unit | 300 S Bradford St, Rayne, LA 70578-6961 | 2006-12-21 |
| 1427122969 | Phc-opelousas Lp | Psychiatric Unit | 225 Guidroz, Arnaudville, LA 70512 | 2006-11-17 |
| 1538174347 | East Jefferson General Hospital | Psychiatric Unit | 4200 Houma Boulevard, Metairie, LA 70006-0000 | 2006-07-30 |
| 1801825005 | Hospital Service District # 2 of Lasalle Parish | Psychiatric Unit | 187 Ninth Street, Jena, LA 71342-2780 | 2006-07-01 |
| 1306883384 | Rapides Healthcare System, L.L.C. | Psychiatric Unit | 1610 7th St, Mamou, LA 70554-2299 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
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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.