Active NPI
Premier Hospice Central LLC
- Community Based Hospice Care Agency
- Jena, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2024
- 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
- Darlene Richard
- Title
- Director of Reimbursement
- Phone
- (318) 281-0078
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 842 West Bradford St
Jena, LA 71342-0000
Care Compare: Hospice
Medicare Care Compare- Listed as
- Premier Hospice Central, LLC
- Certified
- Jul 23, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Charles Gladney | 5% Or Greater Direct Ownership Interest | Dec 3, 2024 | 85% |
| Corporate Officer | Dec 3, 2024 | ||
| Stephen Bishop | Contracted Managing Employee | Feb 12, 2025 | 100% |
| David Colvin | Contracted Managing Employee | Feb 12, 2025 | |
| Delta Healthcare Management, LLC | Operational/Managerial Control | Dec 3, 2024 | 100% |
| Matthew Lyon | 5% Or Greater Direct Ownership Interest | 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.
-
- Family Medicine Physician
- Shell Lake, WI
- NPI 1023010592
Contracted Managing Employee
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bastrop, LA
- NPI 1366698300
Delta Healthcare Management, LLC
-
- Community Based Hospice Care Agency
- Monroe, LA
- NPI 1386834877
Delta Healthcare Management, LLC
-
- Home Health Agency
- Alexandria, LA
- NPI 1134856255
Delta Healthcare Management, LLC
-
- Home Health Agency
- Shreveport, LA
- NPI 1932863917
Delta Healthcare Management, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.