Organization Active NPI

Ameracare Family Hospice, LLC

  • Community Based Hospice Care Agency
  • Covington, LA
National Provider Identifier
1093969677
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
151 Issued in LA
Legal business name
AMERACARE FAMILY HOSPICE, LLC
Practice address
303 W. 21St Avenue
Covington, LA 70433
Phone
(985) 893-3301
Fax
(985) 893-3401
NPI assigned
Nov 10, 2008
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Milton R Mize
Title
Owner/Member
Phone
(985) 635-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 151 LA Primary

Addresses

Primary practice location

303 W. 21St Avenue
Covington, LA 70433

Mailing address

303 W 21St Ave
Covington, LA 70433-3153
Phone (985) 386-7800

Other identifiers 2

IdentifierTypeStateIssuer
151OtherLADHH-LICENSE
19D1032115OtherLACLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

303 W 21st Ave
Covington, LA 70433
Phone (985) 893-3301

3826 Airline Dr
Metairie, LA 70001
Phone (504) 831-1300

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 17, 2021 Change of OwnershipThis provider was the seller Traditions HealthCCN 191597, LA, NPI 1154902666

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1093969677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 21ST AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333153",
            "telephone_number": "985-386-7800",
            "fax_number": "985-635-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W. 21ST AVENUE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-3301",
            "fax_number": "985-893-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERACARE FAMILY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "985-635-6900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHH-LICENSE",
            "identifier": "151",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "19D1032115",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.