HOMER MEMORIAL HOSPITAL (NPI# 1548364961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548364961 |
| 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 | 2006-09-08 |
| Last Update Date | 2019-12-20 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | LA | Hospital Units |
| 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 |
| 1295833713 | Homer Memorial Hospital | Psychiatric Unit | 620 E College St, Homer, LA 71040-3202 | 2006-09-20 |
| 1518061522 | Homer Memorial Hospital | Home Health | 620 E College St, Homer, LA 71040-3202 | 2006-09-11 |
| 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 |
| 1295833713 | Homer Memorial Hospital | Psychiatric Unit | 620 E College St, Homer, LA 71040-3202 | 2006-09-20 |
| 1518061522 | Homer Memorial Hospital | Home Health | 620 E College St, Homer, LA 71040-3202 | 2006-09-11 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093968372 | South Peninsula Hospital, Inc | Medicare Defined Swing Bed Unit | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229075 | Feronie Schunior | Medicare Defined Swing Bed Unit | 1150 Robert Ste 230, Slidell, LA 70458 | 2015-06-30 |
| 1245524271 | New Orleans East Rehab Hospital, Inc. | Medicare Defined Swing Bed Unit | 333 E. Worthey Rd., Gonzales, LA 70737-4234 | 2011-06-07 |
| 1477886141 | St Martin Hospital, Inc. | Medicare Defined Swing Bed Unit | 210 Champagne Boulevard, Breaux Bridge, LA 70517-3700 | 2009-09-14 |
| 1285835561 | Bienville Medical Center Inc | Medicare Defined Swing Bed Unit | 1175 Pine St Ste 200, Arcadia, LA 71001-3113 | 2007-05-31 |
| 1447465075 | Wards 3 4 & 10 Hospital Service District Parish of Union | Medicare Defined Swing Bed Unit | 409 1st Street, Bernice, LA 71222-0697 | 2007-05-14 |
| 1962569079 | Clhg-ville Platte LLC | Medicare Defined Swing Bed Unit | 800 E Main Street, Ville Platte, LA 70586-4615 | 2007-01-02 |
| 1922162833 | Hospital Service District 2 of The Parish of Tangipahoa State of La. | Medicare Defined Swing Bed Unit | 301 W Walnut St, Amite, LA 70422-2025 | 2006-12-22 |
| 1497826820 | Phc-opelousas Lp | Medicare Defined Swing Bed Unit | 3983 I-49 South Service Rd., Opelousas, LA 70570 | 2006-11-09 |
| 1760453310 | Clhg-leesville LLC | Medicare Defined Swing Bed Unit | 1020 W. Fertitta Blvd, Loosville, LA 71446-4645 | 2006-01-31 |
| 1033196456 | Ochsner Clinic Foundation | Medicare Defined Swing Bed Unit | 2614 Jefferson Hwy Fl 3, Jefferson, LA 70121-3828 | 2005-12-28 |
| 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.