NPIMap

Organization Active NPI

The Carpenter Hospice of Northwest Louisiana L.L.C.

  • Community Based Hospice Care Agency
  • Sibley, LA
National Provider Identifier
1508819251
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
129 Issued in LA
Legal business name
THE CARPENTER HOSPICE OF NORTHWEST LOUISIANA L.L.C.
Practice address
364 N Main St
Sibley, LA 71073-2985
Phone
(318) 371-3673
Fax
(318) 371-3675
NPI assigned
May 17, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Patrick Mitchell
Title
Managing Member
Phone
(225) 769-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 129 LA Primary

Addresses

Primary practice location

364 N Main St
Sibley, LA 71073-2985

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 769-2449

Other practice location 1

8950 E Kings Hwy Ste B
Shreveport, LA 71115-2704
Phone (318) 222-8723

Other identifiers 1

IdentifierTypeStateIssuer
1580864MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030618000034 LA Part A Provider - Hospice 7810807906 Practice locations: Shreveport, LA; Sibley, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508819251. Details of each certification follow.

Hospice certification: CCN 191578

Legal name
THE CARPENTER HOSPICE OF NORTHWEST LOUISIANA LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 26, 2003
Last certification
Nov 18, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
364 N Main Street
Sibley, LA 71073

Care Compare: Hospice

Medicare Care Compare
Listed as
The Carpenter Hospice of Northwest Louisiana, LLCCCN 191578 · All quality measures
Ownership
For-Profit
Certified
Jun 26, 2003
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
19D1013182Carpenter Hospice of Northwest Louisiana, LLC, the8950 E Kings Hwy, Suite B, Shreveport, LA 71115Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

912 W Main St
Homer, LA 71040
Phone (318) 927-2024

668 Jordan St
Shreveport, LA 71101
Phone (318) 861-2565

8039 Line Ave
Ste A
Shreveport, LA 71106
Phone (318) 222-8723

8950 E Kings Hwy
Ste B
Shreveport, LA 71115
Phone (318) 222-8723

252 N Main St
Ste C
Sibley, LA 71073
Phone (318) 222-8723

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Samuel G Yount Individual W-2 Managing EmployeeAd; May 8, 2026
Susan M Self Individual Contracted Managing EmployeeMD; Jun 18, 2025
Patrick Thomas Mitchell Individual Operational/Managerial ControlManager May 1, 2019 100%
Other May 1, 2019 1%
PCM Hospice Enterprises LLC Organization, Baton Rouge, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 1, 2019 100%
Kelly Mitchell Individual Other Dec 31, 2022
PCM Intermediate Holdings LLC Organization, Baton Rouge, LA LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%
PTM 2018 Family Trust Organization, Baton Rouge, LA 5% Or Greater Indirect Ownership Interest Dec 31, 2022 99%
Emily Holleman Individual Other Dec 31, 2022
PCM Holdings I, Inc. Organization, Baton Rouge, LA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Practitioners 3

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 4

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1508819251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-769-2449",
            "fax_number": "225-757-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 N MAIN ST",
            "city": "SIBLEY",
            "state": "LA",
            "postal_code": "710732985",
            "telephone_number": "318-371-3673",
            "fax_number": "318-371-3675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 E Kings Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711152704",
            "country_code": "US",
            "telephone_number": "318-222-8723",
            "fax_number": "318-222-8732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CARPENTER HOSPICE OF NORTHWEST LOUISIANA L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-769-2449"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580864",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sibley, LA

Sources for this page

Verify at the official NPI Registry.