Active NPI
St. Ignatius Hospice LLC
- Community Based Hospice Care Agency
- Ponchatoula, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ST. IGNATIUS HOSPICE LLC
- Practice address
- 150 S 7TH St Ste C
Ponchatoula, LA 70454-3321 - Phone
- (985) 288-1670
- Fax
- (985) 288-1869
- NPI assigned
- Apr 21, 2017
- 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
- Brian J. Chehardy Jr.
- Title
- Member
- Phone
- (504) 812-0532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | LA | Primary |
Addresses
Primary practice location
150 S 7TH St Ste C
Ponchatoula, LA 70454-3321
Mailing address
4200 Euphrosine St
New Orleans, LA 70125-1315
Phone (504) 401-2900
Other names 1
- Hospice Specialists of Louisiana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180330000053 | LA | Part A Provider - Hospice | 8224307921 | Practice locations: Ponchatoula, LA |
Hospice certification: CCN 191688
- Legal name
- ST IGNATIUS HOSPICE LLC
- Doing business as
- HOSPICE SPECIALISTS OF LOUISIANA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 2, 2018
- Last certification
- Aug 17, 2021
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Incorporated
- Jan 19, 2017 in LA
- Enrollment address
- 150 S 7TH St
Ste C
Ponchatoula, LA 70454-3321
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice Specialists of Louisiana
- Ownership
- For-Profit
- Certified
- Jul 2, 2018
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
19405 Helenbirg Rd
Ste 201
Covington, LA 70433
Phone (504) 248-5300
150 S 7th St
Ste C
Ponchatoula, LA 70454
Phone (985) 288-1670
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shanon R Chehardy | 5% Or Greater Direct Ownership Interest | Oct 11, 2019 | 5% |
| Corporate Director | Oct 11, 2019 | ||
| Operational/Managerial Control | Oct 11, 2019 | ||
| Brian J Chehardy | 5% Or Greater Direct Ownership Interest | Feb 24, 2017 | 95% |
| Corporate Director | Feb 24, 2017 | ||
| W-2 Managing Employee | Oct 11, 2019 | ||
| Operational/Managerial Control | Feb 24, 2017 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- New Orleans, LA
- NPI 1578820619
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- New Orleans, LA
- NPI 1578820619
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1386179984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 EUPHROSINE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701251315",
"telephone_number": "504-401-2900",
"fax_number": "045-336-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S 7TH ST STE C",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543321",
"telephone_number": "985-288-1670",
"fax_number": "985-288-1869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. IGNATIUS HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "CHEHARDY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "504-812-0532",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Specialists of Louisiana",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hospice Specialists of Louisiana",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.