Regional Hospice Care Group Nwla, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REGIONAL HOSPICE CARE GROUP NWLA, LLC

Doing business as

Bristol Hospice - NW Louisiana

Practice address

1634 Highway 531
Minden, LA 71055-6530

Phone

(318) 382-9396

Fax

(318) 377-2120

NPI assigned

Sep 20, 2011

Organization subpart

No

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

Authorized official

Name

Alex E Mauricio

Title

President Ceo

Phone

(801) 325-0175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bristol Hospice - NW Louisiana Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospice certification: CCN 191616

Legal name

REGIONAL HOSPICE CARE GROUP NWLA, LLC

Doing business as

BRISTOL HOSPICE - NW LOUISIANA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 5, 2006

Last certification

Apr 7, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jul 21, 2011 in LA

Enrollment address

9301 Wallace Lake Rd
Shreveport, LA 71106-7318

Listed as

Bristol Hospice-NW LouisianaCCN 191616

Ownership

For-Profit

Certified

Jan 5, 2006

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 15

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.

• Samuel K Abshire, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Haynesville, LA
  • NPI 1407883820

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Bristol Hospice - Bangor, LLC

  • Community Based Hospice Care Agency
  • Bangor, ME
  • NPI 1336916469

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Bend, L.L.C.

  • Community Based Hospice Care Agency
  • Bend, OR
  • NPI 1356916845

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Blue Bell, LLC

  • Community Based Hospice Care Agency
  • Plymouth Meeting, PA
  • NPI 1356118467

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - California, LLC

  • Community Based Hospice Care Agency
  • Merced, CA
  • NPI 1487603452

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Charleston, LLC

  • Community Based Hospice Care Agency
  • North Charleston, SC
  • NPI 1326866963

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Chicago, L.L.C.

  • Community Based Hospice Care Agency
  • Des Plaines, IL
  • NPI 1104548478

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Eugene, LLC

  • Community Based Hospice Care Agency
  • Springfield, OR
  • NPI 1568962033

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Georgia LLC

  • Community Based Hospice Care Agency
  • Atlanta, GA
  • NPI 1558663872

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Green Bay, L.L.C.

  • Community Based Hospice Care Agency
  • Green Bay, WI
  • NPI 1356928154

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Hawaii, LLC

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1811045594

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Inland Empire, LLC

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1043683170

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Inland Valley, L.L.C.

  • Community Based Hospice Care Agency
  • Ontario, CA
  • NPI 1013318112

  Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Elisabeth Deville, F.N.P.-C

  • Family Nurse Practitioner
  • Minden, LA
  • NPI 1124276621
  NPD
• Christie McDearmont

  • Gerontology Nurse Practitioner
  • Minden, LA
  • NPI 1881327674
  NPD
• Samuel K Abshire, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Haynesville, LA
  • NPI 1407883820
  NPD (past)
• Gavin F Chico, M. D.

  • Internal Medicine Physician
  • Coushatta, LA
  • NPI 1740261650
  NPD (past)
• Rajan Khanna, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1770581225
  NPD (past)
• Vincent Bryan Lococo, MD

  • Family Medicine Physician
  • Springhill, LA
  • NPI 1093745648
  NPD (past)
• Joseph R. Nida, M.D.

  • Family Medicine Physician
  • Minden, LA
  • NPI 1942273776
  NPD (past)
• David Juston Colvin, M.D.

  • Family Medicine Physician
  • Shell Lake, WI
  • NPI 1023010592
  NPD (past)
• April Patton, MD

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1386887842
  NPD (past)

Affiliated clinicians 8

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

• Samuel K Abshire, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Haynesville, LA
  • NPI 1407883820

  Hospice

  Care Compare affiliation
• Gavin F Chico, M. D.

  • Internal Medicine Physician
  • Coushatta, LA
  • NPI 1740261650

  Hospice

  Care Compare affiliation
• Rajan Khanna, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1770581225

  Hospice

  Care Compare affiliation
• Vincent Bryan Lococo, MD

  • Family Medicine Physician
  • Springhill, LA
  • NPI 1093745648

  Hospice

  Care Compare affiliation
• Richard James Michael, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1861496671

  Hospice

  Care Compare affiliation
• Joseph R. Nida, M.D.

  • Family Medicine Physician
  • Minden, LA
  • NPI 1942273776

  Hospice

  Care Compare affiliation
• Akhilesh Thakur

  • Hospitalist Physician
  • Bossier City, LA
  • NPI 1881118909

  Hospice

  Care Compare affiliation
• David Juston Colvin, M.D.

  • Family Medicine Physician
  • Shell Lake, WI
  • NPI 1023010592

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1114200870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REGIONAL HOSPICE CARE GROUP, NWLA 1634 HIGHWAY 531",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710556530",
            "telephone_number": "318-382-9396",
            "fax_number": "318-377-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 HIGHWAY 531",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710556530",
            "telephone_number": "318-382-9396",
            "fax_number": "318-377-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HOSPICE CARE GROUP NWLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "801-325-0175"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584169",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Hospice - NW Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Lynn Rape, MSN, APRN, FNP
• Denise Morgan Reagan, RPH
• Kristin Reagan
• Levi Chris Reagan, PHARMD
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• Sarakay J Reid, LPC, LMFT, LAC
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• Ronald Edward Rhoads

• Community Based Hospice Care Agency in Minden, LA
• Providers in Minden, 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 Sep 26, 2023; 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.