Active NPI
Regional Hospice and Palliative Services-Southeast,LLC.
- Community Based Hospice Care Agency
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- NEW APPLICATION
- Legal business name
- REGIONAL HOSPICE AND PALLIATIVE SERVICES-SOUTHEAST,LLC.
- Practice address
- 2014 W Pinhook Rd Ste 604
Lafayette, LA 70508-8514 - Phone
- (337) 232-5925
- Fax
- (337) 232-5930
- NPI assigned
- Jun 22, 2007
- Last updated
- Feb 1, 2023
- 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
- Mrs. Dana L McBride
- Title
- Chief Operating Officer
- Phone
- (225) 753-1495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NEW APPLICATION | LA | Primary |
Addresses
Primary practice location
2014 W Pinhook Rd Ste 604
Lafayette, LA 70508-8514
Mailing address
4333 American Way
Baton Rouge, LA 70816-0402
Phone (225) 753-1495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080107000081 | LA | Part A Provider - Hospice | 0345320107 | Practice locations: Lafayette, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508062050. Details of each certification follow.
Hospice certification: CCN 191666
- Legal name
- REGIONAL HOSPICE AND PALLIATIVE SERVICES-SOUTHEAST,LLC.
- Doing business as
- BRIDGEWAY HEALTHCARE AND HOSPICE OF ACADIANA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 23, 2009
- Last certification
- Nov 20, 2019
- Ownership / control type
- Other
- Organization structure
- LLC
- Enrollment address
- 2014 W Pinhook Rd
Ste 604
Lafayette, LA 70508-8514
Care Compare: Hospice
Medicare Care Compare- Listed as
- Bridgeway Healthcare and Hospice of Acadiana
- Ownership
- For-Profit
- Certified
- Nov 23, 2009
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1072625 | Bridgeway Healthcare & Hospice of Acadiana | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
13702 Coursey Blvd
Ste 5B
Baton Rouge, LA 70817
Phone (225) 753-1495
4311 Bluebonnet Blvd
Baton Rouge, LA 70809
2014 W Pinhook Rd
Ste 604
Lafayette, LA 70508
Phone (337) 232-5925
2448 Johnston St
Ste D
Lafayette, LA 70503
Phone (337) 269-9700
309 Saint Julien Ave
Lafayette, LA 70506
Phone (337) 269-9700
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 |
|---|---|---|---|
| Federico del Toro | Contracted Managing Employee | Sep 19, 2014 | |
| Dana S McBride | 5% Or Greater Direct Ownership Interest | Sep 19, 2014 | 100% |
| Corporate Officer | Sep 19, 2014 | 100% | |
| W-2 Managing Employee | Sep 19, 2014 | 100% | |
| Operational/Managerial Control | Sep 19, 2014 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1932118445
Contracted Managing Employee
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.
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1932118445
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": "1182470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675209600000",
"number": "1508062050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 AMERICAN WAY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708160402",
"telephone_number": "225-753-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 W PINHOOK RD STE 604",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705088514",
"telephone_number": "337-232-5925",
"fax_number": "337-232-5930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL HOSPICE AND PALLIATIVE SERVICES-SOUTHEAST,LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-22",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A",
"authorized_official_last_name": "MCBRIDE",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "225-753-1495",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "LA",
"license": "NEW APPLICATION",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Amy Reggie, PT
- Regional Health Services LLC (Regional Healthcare)
- Regional Healthcare Services - Acadiana, LLC
- Regional Healthcare Services - Acadiana, LLC
- Regional Hospice and Palliative Services -Central,LLC
- Regional Pca Services - Acadiana, LLC
- Regional Pca Services - Acadiana, LLC
- Rehab Solutions of Louisiana
- Rehabilitation Services of Acadiana, LLC
- Muhammad Hassan Rehman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.