Life Source Services, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

148 Issued in LA

Legal business name

LIFE SOURCE SERVICES, LLC

Practice address

3049 S Sherwood Forest Blvd
Suite 100
Baton Rouge, LA 70816-2277

Phone

(225) 291-9421

Fax

(225) 291-9743

NPI assigned

May 2, 2006

Organization subpart

No

Name

Mrs. Randy Belton

Title

Authorized Representative

Phone

(601) 709-1408

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lifepath Hospice Care Services, LLC

  • Community Based Hospice Care Agency
  • Shreveport, LA
  • NPI 1063470847
  CMS ownership 5% Or Greater Direct Ownership Interest

Organizations listed as members of this organization in the National Provider Directory.

• Lifepath Hospice Care Services, LLC

  • Community Based Hospice Care Agency
  • Shreveport, LA
  • NPI 1063470847
  NPD member Member Of

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

• Alexandria Healthcare LLC

  • Nursing Facility/Intermediate Care Facility
  • Alexandria, LA
  • NPI 1952354086
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Bossier Riverview LLC

  • Skilled Nursing Facility
  • Bossier City, LA
  • NPI 1992581961
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Colonial Oaks Care Center of Metairie

  • Skilled Nursing Facility
  • Metairie, LA
  • NPI 1497360432
  CMS ownership Irrv Property TR for the Quirk Children, Medico LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Baton Rouge LLC

  • Skilled Nursing Facility
  • Baton Rouge, LA
  • NPI 1871541722
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Covington LLC

  • Skilled Nursing Facility
  • Covington, LA
  • NPI 1942258876
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Hammond LLC

  • Skilled Nursing Facility
  • Hammond, LA
  • NPI 1073571212
  CMS ownership Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Heritage House LLC

  • Skilled Nursing Facility
  • Baton Rouge, LA
  • NPI 1962469213
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Houma LLC

  • Skilled Nursing Facility
  • Houma, LA
  • NPI 1407804362
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Mandeville LLC

  • Skilled Nursing Facility
  • Mandeville, LA
  • NPI 1679531362
  CMS ownership Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Opelousas LLC

  • Skilled Nursing Facility
  • Opelousas, LA
  • NPI 1821056136
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Shreveport South LLC

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1083662944
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of St Martinville LLC

  • Skilled Nursing Facility
  • Saint Martinville, LA
  • NPI 1093773301
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Thibodaux LLC

  • Skilled Nursing Facility
  • Thibodaux, LA
  • NPI 1023075355
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Community Care Center of Ville Platte LLC

  • Skilled Nursing Facility
  • Ville Platte, LA
  • NPI 1750349452
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Guardian Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Alexandria, LA
  • NPI 1003995507
  CMS ownership Irrv Property TR for the Quirk Children, Providence Care LLC
• Heritage Manor of Slidell LLC

  • Skilled Nursing Facility
  • Slidell, LA
  • NPI 1144362872
  CMS ownership Providence Care LLC
• Heritage Manor Stratmore Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1508805037
  CMS ownership Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Heritage Manor West LLC

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1770541922
  CMS ownership Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Lady of the Oaks Retirement Manor, LLC

  • Skilled Nursing Facility
  • Lafayette, LA
  • NPI 1184916520
  CMS ownership Irrv Property TR for the Quirk Children
• Lake Charles Healthcare LLC

  • Skilled Nursing Facility
  • Lake Charles, LA
  • NPI 1750513362
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Landmark Heritage LLC

  • Skilled Nursing Facility
  • Baton Rouge, LA
  • NPI 1194773903
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Lifepath Hospice Care Services, LLC

  • Community Based Hospice Care Agency
  • Shreveport, LA
  • NPI 1063470847
  CMS ownership Irrv Property TR for the Quirk Children, Medico LLC, Providence Care LLC, The Summitt LLC
• Opelousas Healthcare Properties LLC

  • Skilled Nursing Facility
  • Opelousas, LA
  • NPI 1497988380
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• Southern Hills LLC

  • Skilled Nursing Facility
  • Shreveport, LA
  • NPI 1215923727
  CMS ownership Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
• St. Catherine'S Hospice, LLC

  • Community Based Hospice Care Agency
  • La Place, LA
  • NPI 1306869771
  CMS ownership Irrv Property TR for the Quirk Children, Medico LLC, Providence Care LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants

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

• Amir Habibollah Ausef, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1528046315
  NPD (past)
• Aaron S De Witt, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275950206
  NPD (past)
• Alexis Brown Ford, DO

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1215566559
  NPD (past) Family Medicine
• Brian Chris Gremillion, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1326049545
  NPD (past)
• Catalina Negulescu, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1700862521
  NPD (past)
• Oana M Petcu, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1326086083
  NPD (past)
• Karthik Krishna Reddy, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1164671129
  NPD (past)
• Robert Jason Territo, DO

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871911669
  NPD (past)
• Leonard Christopher Treanor, M.D.

  • Family Medicine Physician
  • Hammond, LA
  • NPI 1487823506
  NPD (past) Family Medicine
• Shravani Surakanti, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1710327424
  NPD (past)
• Ashley Richardson Whitson, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1396361101
  NPD (past)

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

• Ignazio Joseph Albergamo, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1104862473
  Care Compare affiliation Hospice
• Amir Habibollah Ausef, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1528046315
  Care Compare affiliation Hospice
• Aaron S De Witt, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275950206
  Care Compare affiliation Hospice
• Brian Chris Gremillion, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1326049545
  Care Compare affiliation Hospice
• Subhakar Gummadi, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1225014046
  Care Compare affiliation Hospice
• Catalina Negulescu, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1700862521
  Care Compare affiliation Hospice
• Oana M Petcu, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1326086083
  Care Compare affiliation Hospice
• Scott Picou, MD

  • Family Medicine Physician
  • Hammond, LA
  • NPI 1346506821
  Care Compare affiliation Hospice
• Karthik Krishna Reddy, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1164671129
  Care Compare affiliation Hospice
• Robert Jason Territo, DO

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871911669
  Care Compare affiliation Hospice

Listed as

Life Source Services of Baton RougeCCN 191591

Ownership

Other

Certified

Sep 27, 2004

Medicare certification status

Active (Provider of Services file)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in LA

Legal name

LIFE SOURCE SERVICES LLC

Doing business as

LIFE SOURCE SERVICES OF BATON ROUGE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 27, 2004

Last certification

Aug 4, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

in LA

Enrollment address

11605 Southfork Ave Ste a
Baton Rouge, LA 70816-5220

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

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Locations

• Life Source Services Baton Rouge Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2007.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1356309199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 S SHERWOOD FOREST BLVD",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162277",
            "telephone_number": "225-291-9421",
            "fax_number": "225-291-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 S SHERWOOD FOREST BLVD",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162277",
            "telephone_number": "225-291-9421",
            "fax_number": "225-291-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "601-709-1408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581071",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Source Services Baton Rouge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Baton Rouge, LA
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.