Gulf South Hospice of New Orleans

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GULF SOUTH HOSPICE OF NEW ORLEANS

Practice address

812 Hesper Ave
Metairie, LA 70005-2042

Phone

(504) 525-2643

Fax

(504) 525-2645

NPI assigned

May 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Robert Harold Merrett, M.B.A.

Title

Administrator

Phone

(504) 525-2643

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospice certification: CCN 191676

Legal name

GULF SOUTH HOSPICE OF NEW ORLEANS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 31, 2011

Last certification

Nov 10, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 13, 2010 in LA

Enrollment address

812 Hesper Ave
Metairie, LA 70005-2042

Listed as

Gulf South Hospice of New OrleansCCN 191676

Ownership

For-Profit

Certified

Dec 31, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Fredro Collins Knight Jr., MD

  • Emergency Medicine Physician
  • Bogalusa, LA
  • NPI 1376567628

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Fredro Collins Knight Jr., MD

  • Emergency Medicine Physician
  • Bogalusa, LA
  • NPI 1376567628

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1003134156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 HESPER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052042",
            "telephone_number": "504-525-2643",
            "fax_number": "504-525-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 HESPER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052042",
            "telephone_number": "504-525-2643",
            "fax_number": "504-525-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SOUTH HOSPICE OF NEW ORLEANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MERRETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-525-2643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gulsthhhhhm",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "812 Hesper Ave",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700052042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gulfsouthhospice.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "New Orleans",
            "address_1": "812 Hesper Ave",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700052042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gulf Coast Teaching Family Sevices
• Gulf Emergency Management, Apmc
• Gulf South ABA, LLC
• Gulf South Eye Associates Apmc
• Gulf South Foot & Ankle, LLC
• Gulf South Nursing Services
• Gulf South Physicians Group
• Gulf States Rehabilitation & Associates
• Gulf States Rehabilitation Associates,LTD.
• Lisa Dantagnan Gunter, CPNP-AC, APRN

• Community Based Hospice Care Agency in Metairie, LA
• Providers in Metairie, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.