Active NPI
Hospice of Natchitoches, Inc.
- Community Based Hospice Care Agency
- Leesville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 166
- Legal business name
- HOSPICE OF NATCHITOCHES, INC.
- Practice address
- 106 E Lula St
Leesville, LA 71446-4363 - Phone
- (337) 239-1020
- Fax
- (337) 239-8069
- NPI assigned
- Feb 9, 2006
- 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
- Sylvia Sers Lacour, RN
- Title
- Administrator
- Phone
- (318) 214-0944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 166 | LA | Primary |
Addresses
Primary practice location
106 E Lula St
Leesville, LA 71446-4363
Mailing address
106 E Lula St
Leesville, LA 71446-4363
Phone (337) 239-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1583944 | Medicaid | LA |
Other names 1
- Hospice of Leesville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050816001077 | LA | Part A Provider - Hospice | 4789667510 | Practice locations: Leesville, LA |
Hospice certification: CCN 191608
- Legal name
- HOSPICE OF NATCHITOCHES INC
- Doing business as
- HOSPICE OF LEESVILLE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 6, 2005
- Last certification
- Sep 16, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 14, 2000 in LA
- Enrollment address
- 1615 S 5TH St
Leesville, LA 71446-5303
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Natchitoches, LA
- NPI 1376516674
4789667510
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice of Leesville
- Ownership
- For-Profit
- Certified
- Jul 6, 2005
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1043696 | Hospice of Natchitoches D/B/a | Certificate of waiver | Jul 31, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Hospice of Natchitoches Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Natchitoches, LA
- NPI 1376516674
Locations
106 E Lula St
Leesville, LA 71446
Phone (337) 239-1020
740 San Antonio Ave
Many, LA 71449
Phone (318) 256-1245
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hospice of Natchitoches Inc | Operational/Managerial Control | Aug 14, 2000 | 100% |
| Sylvia Lacour | 5% Or Greater Direct Ownership Interest | Jan 26, 2005 | 50% |
| Corporate Officer | Jan 26, 2005 | 50% | |
| Corporate Director | Jan 26, 2005 | 50% | |
| W-2 Managing Employee | Jan 26, 2005 | 50% | |
| Robert K. Lamme | Contracted Managing Employee | Apr 18, 2024 | 25% |
| Ricky Lacour | 5% Or Greater Direct Ownership Interest | Jan 26, 2005 | 50% |
| Corporate Officer | Jan 26, 2005 | 50% | |
| W-2 Managing Employee | Jan 26, 2005 | 50% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Community Based Hospice Care Agency
- Natchitoches, LA
- NPI 1376516674
Operational/Managerial Control
-
- Family Medicine Physician
- Leesville, LA
- NPI 1548422181
Contracted Managing Employee
Practitioners & affiliated clinicians
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": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1144293192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E LULA ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464363",
"telephone_number": "337-239-1020",
"fax_number": "337-239-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E LULA ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464363",
"telephone_number": "337-239-1020",
"fax_number": "337-239-8069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF NATCHITOCHES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "LACOUR",
"authorized_official_first_name": "SYLVIA",
"authorized_official_middle_name": "SERS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "318-214-0944",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "LA",
"license": "166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1583944",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice of Leesville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.