NPIMap

Organization Active NPI

Hospice 2012, LLC

Doing business as Bridgeway Healthcare & Hospice

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
National Provider Identifier
1134490238
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
306 Issued in LA
Legal business name
HOSPICE 2012, LLC
Doing business as
Bridgeway Healthcare & Hospice
Practice address
4333 American Way
Baton Rouge, LA 70816-0402
Phone
(225) 753-1495
Fax
(225) 753-1301
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Mrs. Dana L McBride, RN
Title
Ceo
Phone
(225) 753-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 306 LA Primary

Addresses

Primary practice location

4333 American Way
Baton Rouge, LA 70816-0402

Mailing address

4333 American Way
Baton Rouge, LA 70816-0402
Phone (225) 753-1495

Other names 1

  • Bridgeway Healthcare & Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000386 LA Part A Provider - Hospice 1254597081 Practice locations: Baton Rouge, LA; Plaquenmine, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134490238. Details of each certification follow.

Hospice certification: CCN 191539

Legal name
HOSPICE 2012 LLC
Doing business as
BRIDGEWAY HEALTHCARE & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 7, 1996
Last certification
Aug 12, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
4333 American Way
Baton Rouge, LA 70816-0402

Care Compare: Hospice

Medicare Care Compare
Listed as
Bridgeway Healthcare & HospiceCCN 191539 · All quality measures
Ownership
For-Profit
Certified
Jun 7, 1996
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2109973Bridgeway Healthcare & Hospice4333 American Way, Baton Rouge, LA 70816Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Locations

4333 American Way
Baton Rouge, LA 70816
Phone (225) 753-1495

13702 Coursey Blvd
Ste 5B
Baton Rouge, LA 70817
Phone (225) 753-1495

24170 Railroad Ave
Plaquemine, LA 70764
Phone (225) 320-3630

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dana S McBride Individual 5% Or Greater Direct Ownership Interest Feb 28, 2012
Corporate Director Feb 28, 2012
W-2 Managing Employee Feb 28, 2012

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1134490238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 AMERICAN WAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160402",
            "telephone_number": "225-753-1495",
            "fax_number": "225-753-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 AMERICAN WAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160402",
            "telephone_number": "225-753-1495",
            "fax_number": "225-753-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE 2012, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-753-1495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway Healthcare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgeway Healthcare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.