Organization Active NPI

Bridge of Hope Provider Agency LLC

  • Community Based Hospice Care Agency
  • Monroe, LA
National Provider Identifier
1033517859
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BRIDGE OF HOPE PROVIDER AGENCY LLC
Practice address
2905 Cameron St Ste B
Monroe, LA 71201-3791
Phone
(318) 325-5620
Fax
(318) 325-5661
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Cynthia Kaye Welch
Title
Administrator
Phone
(318) 325-5620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2905 Cameron St Ste B
Monroe, LA 71201-3791

Mailing address

2905 Cameron St Ste B
Monroe, LA 71201-3791
Phone (318) 325-5620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1033517859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 CAMERON ST STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013791",
            "telephone_number": "318-325-5620",
            "fax_number": "318-325-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 CAMERON ST STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013791",
            "telephone_number": "318-325-5620",
            "fax_number": "318-325-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE OF HOPE PROVIDER AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-325-5620"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.