Organization Active NPI

Hospice of Natchitoches, Inc.

  • Community Based Hospice Care Agency
  • Natchitoches, LA
National Provider Identifier
1376516674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
89 Issued in LA
Legal business name
HOSPICE OF NATCHITOCHES, INC.
Practice address
340 2ND St
Natchitoches, LA 71457-4306
Phone
(318) 214-0944
Fax
(318) 214-0567
NPI assigned
Feb 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sylvia Sers Lacour, RN
Title
Administrator
Phone
(318) 214-0944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 89 LA Primary

Addresses

Primary practice location

340 2ND St
Natchitoches, LA 71457-4306

Mailing address

340 2ND St
Natchitoches, LA 71457-4306
Phone (318) 214-0944

Other identifiers 1

IdentifierTypeStateIssuer
1580503MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000308 LA Part A Provider - Hospice 4789667510 Practice locations: Many, LA; Natchitoches, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376516674. Details of each certification follow.

Hospice certification: CCN 191561

Legal name
HOSPICE OF NATCHITOCHES INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 9, 2001
Last certification
Jun 10, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 14, 2000 in LA
Enrollment address
336 2ND St
Natchitoches, LA 71457-4306

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Natchitoches, IncCCN 191561 · All quality measures
Ownership
For-Profit
Certified
Jan 9, 2001
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Natchitoches Inc2 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

106 E Lula St
Leesville, LA 71446
Phone (337) 239-1020

336 2nd St
Natchitoches, LA 71457
Phone (318) 214-0944

340 2nd St
Natchitoches, LA 71457
Phone (318) 214-0944

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Sylvia Lacour Individual 5% Or Greater Direct Ownership Interest Aug 14, 2000 50%
Corporate OfficerPresident Governing Board Member Aug 14, 2000 50%
W-2 Managing EmployeePresident Governing Board Member Aug 14, 2000 50%
Ricky Lacour Individual 5% Or Greater Direct Ownership Interest Aug 14, 2000 50%
Corporate OfficerSecretary Governing Board Member Aug 14, 2000 50%
W-2 Managing EmployeeCfo Governing Board Member Aug 14, 2000 50%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hospice of LeesvilleLeesville, LA, CCN 191608 Hospice Operational/Managerial Control (100%) Aug 14, 2000

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 11

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": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376516674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 2ND ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574306",
            "telephone_number": "318-214-0944",
            "fax_number": "318-214-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 2ND ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574306",
            "telephone_number": "318-214-0944",
            "fax_number": "318-214-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NATCHITOCHES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACOUR",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "SERS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-214-0944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580503",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.