Organization Active NPI

Hospice of Natchitoches, Inc.

  • Community Based Hospice Care Agency
  • Leesville, LA
National Provider Identifier
1144293192
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
166 Issued in LA
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

Updated by the provider on Mar 4, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1583944MedicaidLA

Other names 1

  • Hospice of Leesville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of LeesvilleCCN 191608
Ownership
For-Profit
Certified
Jul 6, 2005
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
19D1043696Hospice of Natchitoches D/B/a1615 S 5TH Street, Leesville, LA 71446Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Natchitoches Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Hospice of Natchitoches Inc Organization, Natchitoches, LA Corporation, For-profit Operational/Managerial Control Aug 14, 2000 100%
Sylvia Lacour Individual 5% Or Greater Direct Ownership Interest Jan 26, 2005 50%
Corporate OfficerPresident Governing Board Member Jan 26, 2005 50%
Corporate DirectorAdmin Jan 26, 2005 50%
W-2 Managing EmployeePresident Governing Board Member Jan 26, 2005 50%
Robert K. Lamme Individual Contracted Managing EmployeeMD; Apr 18, 2024 25%
Ricky Lacour Individual 5% Or Greater Direct Ownership Interest Jan 26, 2005 50%
Corporate OfficerSecretary Governing Board Member Jan 26, 2005 50%
W-2 Managing EmployeeCfo Governing Board Member 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.

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

Verify at the official NPI Registry.