Canon Hospice LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

149 Issued in LA

Legal business name

CANON HOSPICE LLC

Practice address

13702 Coursey Blvd Ste 6a
Baton Rouge, LA 70817-1370

Phone

(225) 926-1404

Fax

(225) 926-1403

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Shiva K Akula, MDNPI 1679643639

Title

Owner

Phone

(504) 818-2723

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shiva Kumar Akula, M.D

  • Infectious Disease Physician
  • New Orleans, LA
  • NPI 1679643639
  NPD (past) Authorized official
• Jamie Aldridge Akula

  • Hospice Registered Nurse
  • New Orleans, LA
  • NPI 1780453555
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1275632762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13702 COURSEY BLVD STE 6A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171370",
            "telephone_number": "225-926-1404",
            "fax_number": "225-926-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13702 COURSEY BLVD STE 6A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171370",
            "telephone_number": "225-926-1404",
            "fax_number": "225-926-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "AKULA",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-818-2723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "LA",
            "license": "149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1501054",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady Cannon, DPT
• Kelly Schwartzenburg Cannon, M.D.
• Lynn Persica Cannon, LMSW
• Makayla Alana Cannon
• Rosalyn Cannon
• Durwyne Canty
• Megan Kyle Canty, LOTR
• Romesia Capers
• Sydney C Capers
• Capital Area Human Services District (Baton Rouge Behavioral Health)

• Inpatient Hospice in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Inpatient Hospice in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.