Passages Hospice North - Central, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2203782457 Issued in LA

Legal business name

PASSAGES HOSPICE NORTH - CENTRAL, LLC

Doing business as

Passages Hospice
Passages Hospice North

Practice address

909 Elm St Ste B
Minden, LA 71055-2700

Phone

(318) 371-1140

Fax

(866) 230-1701

NPI assigned

Dec 1, 2006

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlie Stevenson Day

Title

Vice President Hospice Operations

Phone

(318) 371-1140

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• Passages Hospice Doing business as
• Passages Hospice North Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205904661. Details of each certification follow.

• CCN 191535 Hospice · Active · Details

Hospice certification: CCN 191535

Legal name

PASSAGES HOSPICE NORTH - CENTRAL LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 6, 1995

Last certification

Oct 6, 2021

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Mar 1, 2020 in LA

Enrollment address

909 Elm St
Ste B
Minden, LA 71055-2700

Listed as

Passages HospiceCCN 191535 · All quality measures

Ownership

For-Profit

Certified

Jul 6, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 2

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

• Daniel C Harlin, M.D.

  • Diagnostic Radiology Physician
  • Harahan, LA
  • NPI 1053401950

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Gregory Scott Phillips, MD

  • Family Medicine Physician
  • Sibley, LA
  • NPI 1497743413

  Contracted Managing Employee

  CMS ownership

Change-of-ownership history 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel C Harlin, M.D.

  • Diagnostic Radiology Physician
  • Harahan, LA
  • NPI 1053401950
  NPD
• Gregory Scott Phillips, MD

  • Family Medicine Physician
  • Sibley, LA
  • NPI 1497743413
  NPD (past)
• Clifton Wales Salmon Jr., M.D.

  • Family Medicine Physician
  • Homer, LA
  • NPI 1346205507
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David Abdehou, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1568471993

  Hospice

  Care Compare affiliation
• Albert Michael Aura, MD

  • Physical Medicine & Rehabilitation Physician
  • Bossier City, LA
  • NPI 1821033119

  Hospice

  Care Compare affiliation
• William Mark Haynes, M.D.

  • Family Medicine Physician
  • Homer, LA
  • NPI 1184735151

  Hospice

  Care Compare affiliation
• Gregory Scott Phillips, MD

  • Family Medicine Physician
  • Sibley, LA
  • NPI 1497743413

  Hospice

  Care Compare affiliation
• Clifton Wales Salmon Jr., M.D.

  • Family Medicine Physician
  • Homer, LA
  • NPI 1346205507

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1205904661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ELM ST STE B",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552700",
            "telephone_number": "318-371-1140",
            "fax_number": "866-230-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ELM ST STE B",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552700",
            "telephone_number": "318-371-1140",
            "fax_number": "866-230-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES HOSPICE NORTH - CENTRAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CARLIE",
        "authorized_official_middle_name": "STEVENSON",
        "authorized_official_title_or_position": "VICE PRESIDENT HOSPICE OPERATIONS",
        "authorized_official_telephone_number": "318-371-1140"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203782457",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "LA",
            "license": "71",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "LA",
            "license": "2203782457-I",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580368",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passages Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Passages Hospice North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Passages Hospice North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Oliver, LPC
• Overton Brooks VA Med Center
• Overton Brooks Vamc
• Yolanda Palmer
• Tiffany Armond Parker, PA
• Domonique Patterson, RSW
• Ellen A Patton, MA, PLPC
• Performance Physical Therapy of Minden, L.L.C.
• Cara Miccoli Permenter, MD
• PFC Medical LLC

• Community Based Hospice Care Agency in Minden, LA
• Providers in Minden, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.

Verify at the official NPI Registry.