Organization Active NPI

Premier Hospice Central LLC

  • Community Based Hospice Care Agency
  • Jena, LA
National Provider Identifier
1326861287
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PREMIER HOSPICE CENTRAL LLC
Practice address
842 W Bradford St.
Jena, LA 71342
Phone
(318) 416-1200
Fax
(318) 281-2753
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Darlene Richard
Title
Director of Reimbursement
Phone
(318) 281-0078

Specialties & licenses 1

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

Addresses

Primary practice location

842 W Bradford St.
Jena, LA 71342

Mailing address

1523 Texas Ave
Bastrop, LA 71220-4043
Phone (318) 281-0078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415002845 LA Part A Provider - Hospice 7012432719 Practice locations: Jena, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326861287. Details of each certification follow.

Hospice certification: CCN 191698

Legal name
PREMIER HOSPICE CENTRAL LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 23, 2025
Last certification
Jul 17, 2025
Organization structure
LLCProprietary
Enrollment address
842 West Bradford St
Jena, LA 71342-0000

Care Compare: Hospice

Medicare Care Compare
Listed as
Premier Hospice Central, LLCCCN 191698 · All quality measures
Certified
Jul 23, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Charles Gladney Individual 5% Or Greater Direct Ownership Interest Dec 3, 2024 85%
Corporate Officer Dec 3, 2024
Stephen Bishop Individual Contracted Managing EmployeeAd; Feb 12, 2025 100%
David Colvin Individual Contracted Managing EmployeeMD; Feb 12, 2025
Delta Healthcare Management, LLC Organization, Bastrop, LA Management services company Operational/Managerial Control Dec 3, 2024 100%
Matthew Lyon Individual 5% Or Greater Direct Ownership InterestManager Dec 3, 2024 15%
Corporate Officer Dec 3, 2024 100%

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 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1326861287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 TEXAS AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-281-0078",
            "fax_number": "318-281-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 W BRADFORD ST.",
            "city": "JENA",
            "state": "LA",
            "postal_code": "71342",
            "telephone_number": "318-416-1200",
            "fax_number": "318-281-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPICE CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "318-281-0078"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

Verify at the official NPI Registry.