NPIMap

Organization Active NPI

Palliative Care at Heart, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Baton Rouge, LA
National Provider Identifier
1164052296
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
PALLIATIVE CARE AT HEART, LLC
Practice address
4212 American Way
Suite C
Baton Rouge, LA 70816
Phone
(225) 412-3660
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Jim Petrus
Title
Cfo
Phone
(843) 410-6691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

4212 American Way
Suite C
Baton Rouge, LA 70816

Mailing address

134 Columbus St
Charleston, SC 29403-4809

National Provider Directory

National Provider Directory
Tax ID family
Palliative Care at Heart LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

134 Columbus St
Charleston, SC 29403
Phone (843) 937-5665

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1164052296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COLUMBUS ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 AMERICAN WAY",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-412-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE AT HEART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "PETRUS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-410-6691"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.