Organization Active NPI

St. Ignatius Hospice LLC

  • Community Based Hospice Care Agency
  • Ponchatoula, LA
National Provider Identifier
1386179984
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Oct 21, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LouisianaCCN 191688
Ownership
For-Profit
Certified
Jul 2, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Shanon R Chehardy Individual 5% Or Greater Direct Ownership InterestManaging Member Oct 11, 2019 5%
Corporate DirectorManaging Member Oct 11, 2019
Operational/Managerial ControlManaging Member Oct 11, 2019
Brian J Chehardy Individual 5% Or Greater Direct Ownership InterestManaging Member Feb 24, 2017 95%
Corporate DirectorManaging Member Feb 24, 2017
W-2 Managing EmployeeManaging Member Oct 11, 2019
Operational/Managerial ControlManaging Member 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.

Affiliated clinicians 1

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": "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

Verify at the official NPI Registry.