Active NPI
Carson Investments of Louisiana, Inc
- Community Based Hospice Care Agency
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CARSON INVESTMENTS OF LOUISIANA, INC
- Practice address
- 4427 Youree Dr
Shreveport, LA 71105-3620 - Phone
- (318) 402-3555
- Fax
- (318) 861-2587
- NPI assigned
- Sep 29, 2010
- 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
- Mr. Scott Ryan Carson
- Title
- Ceo
- Phone
- (318) 402-3555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | LA | Primary |
Addresses
Primary practice location
4427 Youree Dr
Shreveport, LA 71105-3620
Mailing address
1404 Magnolia RDG
Bossier City, LA 71112-5042
Phone (318) 402-3555
Other names 1
- Nightingale Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111007000619 | LA | Part A Provider - Hospice | 9335311687 | Practice locations: Bossier City, LA |
Hospice certification: CCN 191686
- Legal name
- CARSON INVESTMENTS OF LOUISIANA, INC
- Doing business as
- NIGHTINGALE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 19, 2013
- Last certification
- May 23, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 4530 Barkdale Blvd
Suite a & A2
Bossier City, LA 71112-4598
Care Compare: Hospice
Medicare Care Compare- Listed as
- Nightingale Hospice
- Ownership
- For-Profit
- Certified
- Jun 19, 2013
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Reuven Alter | 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 6% |
| Stephen Wediger | 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 6% |
| Mark Tress | 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 6% |
| Yaakov Septimus | 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 6% |
| Brian a Monaco | Contracted Managing Employee | Nov 7, 2022 | |
| Chaim Rottenberg | 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 6% |
| Scott Carson | 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 51% |
| Corporate Officer | Jun 18, 2010 | ||
| Operational/Managerial Control | Jun 18, 2010 | ||
| Lisa Carson | 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 19% |
| Corporate Officer | Jun 18, 2010 | ||
| Corporate Director | Jun 18, 2010 | ||
| W-2 Managing Employee | Jun 18, 2010 | ||
| Operational/Managerial Control | Jun 18, 2010 | ||
| Carson Investments of Louisiana, Inc | 5% Or Greater Direct Ownership Interest | Jun 18, 2010 | 100% |
| 5% Or Greater Indirect Ownership Interest | Jan 21, 2022 | 100% | |
| Operational/Managerial Control | Jun 18, 2010 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1578908851
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1578908851
Affiliated clinicians 1
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": "1285718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285718400000",
"number": "1194034868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 MAGNOLIA RDG",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711125042",
"telephone_number": "318-402-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4427 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711053620",
"telephone_number": "318-402-3555",
"fax_number": "318-861-2587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARSON INVESTMENTS OF LOUISIANA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "318-402-3555",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nightingale Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.