Heart of Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2203782394 Issued in LA

Legal business name

HEART OF HOSPICE LLC

Practice address

1001 Highway 190 East Service Rd Ste 202
Covington, LA 70433-4963

Phone

(985) 871-9272

Fax

(985) 375-1192

NPI assigned

Jul 17, 2015

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HEART OF HOSPICE LLCAs reported in NPPES

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

Authorized official

Name

Joshua L. Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689058760. Details of each certification follow.

• CCN 191622 Hospice · Active · Details

Hospice certification: CCN 191622

Legal name

HEART OF HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 16, 2006

Last certification

Mar 24, 2021

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

May 30, 2014 in SC

Enrollment address

1816 Glenmar Ave
Ste 2
Monroe, LA 71201-4932

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Heart of Hospice LLC

  • Community Based Hospice Care Agency
  • Monroe, LA
  • NPI 1487013421

  O20160602001540

  Same enrollment

Listed as

Heart of Hospice, LLCCCN 191622 · All quality measures

Ownership

For-Profit

Certified

Mar 16, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Heart of Hospice LLC

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Daniel A Trejo, M.D.

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1093766925

  Contracted Managing Employee

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Heart of Hospice, LLC

  • Community Based Hospice Care Agency
  • Lafayette, LA
  • NPI 1215084520
  NPPES parent name

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Latrice Roberts, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rayville, LA
  • NPI 1245626910

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1689058760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HIGHWAY 190 EAST SERVICE RD STE 202",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334963",
            "telephone_number": "985-871-9272",
            "fax_number": "985-375-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART OF HOSPICE LLC",
        "enumeration_date": "2015-07-17",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203782394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Covington, LA
• Providers in Covington, 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 Sep 11, 2024; 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.

Verify at the official NPI Registry.