NPIMap

Organization Active NPI

St. Joseph Hospice of Acadiana, L.L.C.

  • Community Based Hospice Care Agency
  • Lafayette, LA
National Provider Identifier
1144427477
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
246 Issued in LA
Legal business name
ST. JOSEPH HOSPICE OF ACADIANA, L.L.C.
Practice address
923 W Pinhook Rd
Lafayette, LA 70503-2405
Phone
(337) 541-6464
Fax
(225) 757-1104
NPI assigned
Jun 29, 2007
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Patrick Thomas Mitchell
Title
Managing Member
Phone
(225) 769-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 246 LA Primary

Addresses

Primary practice location

923 W Pinhook Rd
Lafayette, LA 70503-2405

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 769-2449

Other identifiers 1

IdentifierTypeStateIssuer
1034487MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071016000208 LA Part A Provider - Hospice 0143316505 Practice locations: Lafayette, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144427477. Details of each certification follow.

Hospice certification: CCN 191654

Legal name
ST. JOSEPH HOSPICE OF ACADIANA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 29, 2007
Last certification
Jan 13, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
923 W Pinhook Rd
Lafayette, LA 70503-2405

Care Compare: Hospice

Medicare Care Compare
Listed as
St Joseph Hospice of Acadiana, LLCCCN 191654 · All quality measures
Ownership
For-Profit
Certified
Nov 29, 2007
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
19D1071651St Joseph Hospice of Acadiana LLC923 W Pinhook Rd, Lafayette, LA 70503Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

1003 Hugh Wallis Rd S
Ste F3
Lafayette, LA 70508
Phone (337) 233-1131

1453 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Patrick Thomas Mitchell Individual Operational/Managerial ControlManager Jun 7, 2007
Other May 1, 2019 1%
PCM Hospice Enterprises LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jul 18, 2025 100%
Reshma a Bhanushali Individual Contracted Managing EmployeeMD; Feb 25, 2016
Kelly Mitchell Individual Other Dec 31, 2022
PCM Intermediate Holdings LLC Organization, Baton Rouge, LA LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%
PTM 2018 Family Trust Organization, Baton Rouge, LA 5% Or Greater Indirect Ownership Interest Jul 18, 2025 99%
Emily Holleman Individual Other Dec 31, 2022
PCM Holdings I, Inc. Organization, Baton Rouge, LA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%
Tracy D Alletag Individual W-2 Managing EmployeeAd; Mar 25, 2026

Owners & managing parties with NPI records 1

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

Facilities with the same owner 35

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

View all 35

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1144427477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-769-2449",
            "fax_number": "225-757-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032405",
            "telephone_number": "337-541-6464",
            "fax_number": "225-757-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPICE OF ACADIANA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-769-2449"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034487",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.