Hospice of Shreveport, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

263 Issued in LA

Legal business name

HOSPICE OF SHREVEPORT, INC.

Doing business as

Hospice of Shreveport/Bossier

Practice address

3829 Gilbert
Madison Park
Shreveport, LA 71104-5005

Phone

(318) 865-7177

Fax

(318) 865-4077

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Martha C. McDurmond, CHA, NFA

Title

Administrator

Phone

(318) 865-7177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospice of Shreveport/Bossier Doing business as

Locations

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1700883063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 GILBERT DR",
            "address_2": "MADISON PARK BUSINESS CENTER",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045005",
            "telephone_number": "318-865-7177",
            "fax_number": "318-865-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 GILBERT",
            "address_2": "MADISON PARK",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711045005",
            "telephone_number": "318-865-7177",
            "fax_number": "318-865-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SHREVEPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "MCDURMOND",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-865-7177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHA, NFA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580201",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Shreveport/Bossier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Charnette Horton, LPC, LMFT, NCC,BCC
• Kasadi Patten Horton, PTA
• Rita Yanez Horton, M.D.
• Shaliska Horton
• Shamrika Renee Horton
• Hospitalist Medicine Physicians of Louisiana-TCG, Inc.
• Elizabeth Hospodar, MD
• Raha Hosseini, PHARMD
• Donna Hostnick, RN
• Patricia Ann Hostyn, DMD

• 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 Apr 13, 2010; 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.