Jordan's Crossing Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

176 Issued in LA

Legal business name

JORDAN'S CROSSING HOSPICE, LLC

Practice address

624 Travis St
Suite 700
Shreveport, LA 71101-3013

Phone

(318) 631-6789

Fax

(318) 631-6727

NPI assigned

Jul 3, 2006

Last updated

Aug 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Becki D Prudhome, RN, CHPN, CHA

Title

Clinical Director/Admin/Co Owner

Phone

(318) 631-6789

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1639109952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TRAVIS ST",
            "address_2": "SUITE 700",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013013",
            "telephone_number": "318-631-6789",
            "fax_number": "318-631-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TRAVIS ST",
            "address_2": "SUITE 700",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013013",
            "telephone_number": "318-631-6789",
            "fax_number": "318-631-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN'S CROSSING HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "PRUDHOME",
        "authorized_official_first_name": "BECKI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/ADMIN/CO OWNER",
        "authorized_official_telephone_number": "318-631-6789",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, CHPN, CHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584215",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Fett Jordan
• Paul Alexander Jordan, M.D.
• Robert Herbert Jordan, PH.D.
• Theresa Jordan
• Tierene D Jordan, MS, MA
• Alvin Jose
• Doran Macdonald Evered Joseph
• Joel Abraham Joseph, MD
• Taquana Joseph
• Tatiyana Joseph

• Community Based Hospice Care Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.