South Louisiana Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOUTH LOUISIANA HOSPICE, LLC

Practice address

9332 Interline Ave
Baton Rouge, LA 70809-1909

Phone

(225) 924-6830

Fax

(225) 924-6829

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Rachel Chay

Title

HR/ Accounting

Phone

(225) 924-6830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Audubon Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospice certification: CCN 191684

Legal name

SOUTH LOUISIANA HOSPICE LLC

Doing business as

AUDUBON HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 11, 2013

Last certification

Aug 12, 2021

Ownership / control type

Other

Organization structure

CorporationProprietary

Incorporated

Sep 11, 2012 in LA

Enrollment address

9332 Interline Ave
Baton Rouge, LA 70809-1909

Listed as

Audubon Hospice CareCCN 191684

Ownership

For-Profit

Certified

Mar 11, 2013

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 7

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 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ryan Lee Basquez, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1417488826

  Contracted Managing Employee

  CMS ownership
• Kathleen Brumfield Freeman, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1457510471

  Contracted Managing Employee

  CMS ownership
• Adrian P. Landry, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871525436

  Contracted Managing Employee

  CMS ownership

Practitioners 7

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

• George Crouse, FNP-BC

  • Family Nurse Practitioner
  • Brookhaven, MS
  • NPI 1871878967
  NPD
• Shenell Aikens, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1770253940
  NPD (past)
• Ryan Lee Basquez, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1417488826

  Family Medicine

  NPD (past)
• Joy Dixon, FNP-C

  • Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1275492696
  NPD (past)
• Adrian P. Landry, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871525436
  NPD (past)
• Karen B Wallen, NP

  • Adult Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1912259763
  NPD (past)
• Catrina Antoinette Parker, APRN-FNP-C

  • Family Nurse Practitioner
  • Pearland, TX
  • NPI 1649810748
  NPD (past)

Affiliated clinicians 1

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

• Adrian P. Landry, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871525436

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1134494453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 INTERLINE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091909",
            "telephone_number": "225-924-6830",
            "fax_number": "225-924-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 INTERLINE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091909",
            "telephone_number": "225-924-6830",
            "fax_number": "225-924-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LOUISIANA HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "CHAY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "HR/ ACCOUNTING",
        "authorized_official_telephone_number": "225-924-6830"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339770",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audubon Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.