Organization Active NPI

Regional Hospice and Palliative Services-Southeast,LLC.

  • Community Based Hospice Care Agency
  • Lafayette, LA
National Provider Identifier
1508062050
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
NEW APPLICATION Issued in LA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 AcadianaCCN 191666 · All quality measures
Ownership
For-Profit
Certified
Nov 23, 2009
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1072625Bridgeway Healthcare & Hospice of Acadiana2014 W Pinhook Drive Suite 604, Lafayette, LA 70508Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Federico del Toro Individual Contracted Managing EmployeeMD; Sep 19, 2014
Dana S McBride Individual 5% Or Greater Direct Ownership InterestAdministrator/Ceo Sep 19, 2014 100%
Corporate OfficerAdministrator/Ceo Sep 19, 2014 100%
W-2 Managing EmployeeAd; Sep 19, 2014 100%
Operational/Managerial ControlAdministrator/Ceo 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.

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 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

Sources for this page

Verify at the official NPI Registry.