Active NPI
Ameracare Family Hospice, LLC
- Community Based Hospice Care Agency
- Covington, LA
National Provider Identifier
1093969677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 151
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151 | Other | LA | DHH-LICENSE |
| 19D1032115 | Other | LA | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| May 17, 2021 | Change of Ownership | Traditions Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Traditions Health
- Community Based Hospice Care Agency
- Covington, LA
- NPI 1154902666
Sold to, 2021-05-17
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.