Organization Active NPI

St. Catherine's Hospice, LLC

Doing business as St. Catherine's Hospice

  • Community Based Hospice Care Agency
  • La Place, LA
National Provider Identifier
1306869771
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
183 Issued in LA
Legal business name
ST. CATHERINE'S HOSPICE, LLC
Doing business as
St. Catherine's Hospice
Practice address
421 W Airline Hwy Ste L
La Place, LA 70068-3820
Phone
(985) 651-9733
Fax
(985) 651-9712
NPI assigned
Jul 25, 2006
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Ms. Toni H Parkinson
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 183 LA Primary

Addresses

Primary practice location

421 W Airline Hwy Ste L
La Place, LA 70068-3820

Mailing address

421 W Airline Hwy Ste L
La Place, LA 70068-3820
Phone (985) 651-9733

Other identifiers 1

IdentifierTypeStateIssuer
1581658MedicaidLA

Other names 1

  • St. Catherine's Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060511000209 LA Part A Provider - Hospice 8628089166 Practice locations: La Place, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306869771. Details of each certification follow.

Hospice certification: CCN 191623

Legal name
ST. CATHERINE'S HOSPICE, LLC
Doing business as
ST CATHERINE'S HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 25, 2006
Last certification
Oct 7, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
1704 Cannes Dr
La Place, LA 70068-2407

Care Compare: Hospice

Medicare Care Compare
Listed as
St Catherine's Hospice, LLCCCN 191623 · All quality measures
Ownership
For-Profit
Certified
May 25, 2006
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
19D1052658St Catherine Hospice LLC1704 Cannes Drive, Laplace, LA 70068Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
St Catherine's Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1704 Cannes Dr
La Place, LA 70068
Phone (985) 651-9733

1708 Cannes Dr
Ste 10
La Place, LA 70068
Phone (985) 651-9733

2701 New Highway 51
La Place, LA 70068

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
QSST TR for Alison Beebe Sadler Danos and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.71%
Medico LLC Organization, Ridgeland, MS LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 25%
Irrv Property TR for the Quirk Children Organization, Denham Springs, LA 5% Or Greater Direct Ownership Interest Jul 31, 2018 50%
Elton G Beebe Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 8.33%
Keri Ann Chilton Individual W-2 Managing EmployeeAdministrator Apr 18, 2022
Toni H Parkinson Individual Corporate OfficerPresident Accct MGT Services Inc Nov 15, 2015
Colin G Bailey Individual OtherMedical Director Mar 1, 2006
Agf LLC Organization, Ridgeland, MS LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 18.75%
David W Stallard Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 6.25%
Operational/Managerial Control Mar 1, 2006
Providence Care LLC Organization, Mandeville, LA For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2016 6.25%
Operational/Managerial Control May 25, 2006
QSST TR for Felicia Beebe Stallard and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.71%

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 41

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

View all 41

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1306869771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W AIRLINE HWY STE L",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683820",
            "telephone_number": "985-651-9733",
            "fax_number": "985-651-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W AIRLINE HWY STE L",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683820",
            "telephone_number": "985-651-9733",
            "fax_number": "985-651-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CATHERINE'S HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "601-709-1408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581658",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Catherine's Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Place, LA

Sources for this page

Verify at the official NPI Registry.