Angel Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

75 Issued in LA

Legal business name

ANGEL CARE HOSPICE, INC.

Practice address

1406 NE Evangeline Trwy
Suite 100
Lafayette, LA 70501-2830

Phone

(337) 534-8242

Fax

(337) 534-8243

NPI assigned

Apr 18, 2007

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kristal Glover, RN

Title

Administrator

Phone

(337) 534-8242

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Hope Healthcare and Hospice, LLC

  • Community Based Hospice Care Agency
  • Lafayette, LA
  • NPI 1790285187

  Sold to, 2018-01-31

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Justice, NP-C

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1407257827
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1073739975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 NE EVANGELINE TRWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012830",
            "telephone_number": "337-534-8242",
            "fax_number": "337-534-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 NE EVANGELINE TRWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012830",
            "telephone_number": "337-534-8242",
            "fax_number": "337-534-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-534-8242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "75",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580449",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmalita F Andrus, F.N.P.
• Craig Alan Andrus
• Mary Andrus
• Anesthesia Specialists of Acadiana
• Anesthesiology & Pain Consultants, LLC
• Angel Manor
• Angel Manor LLC (Family First Intensive Behavioral Systems)
• Angel Manor PCS LLC
• Angel Manor, LLC.
• Brynne Scott Angelle, LCSW

• Community Based Hospice Care Agency in Lafayette, LA
• Providers in Lafayette, 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 Nov 21, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.