NPIMap

Organization Active NPI

Hope Healthcare and Hospice, LLC

  • Community Based Hospice Care Agency
  • Lafayette, LA
National Provider Identifier
1790285187
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOPE HEALTHCARE AND HOSPICE, LLC
Practice address
301 E Kaliste Saloom Rd Ste 201
Lafayette, LA 70508-3288
Phone
(337) 703-4674
Fax
(337) 456-4589
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Donna B Martin
Title
President/Co-Founder
Phone
(337) 703-4674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Community Based Hospice Care Agency 251G00000X 2203783122 LA

Addresses

Primary practice location

301 E Kaliste Saloom Rd Ste 201
Lafayette, LA 70508-3288

Mailing address

301 E Kaliste Saloom Rd Ste 201
Lafayette, LA 70508-3288
Phone (337) 703-4674

Other identifiers 1

IdentifierTypeStateIssuer
1580441MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donna.martin@hope-hospice.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180410001433 LA Part A Provider - Hospice 0941563704 Practice locations: Lafayette, LA

Hospice certification: CCN 191551

Legal name
HOPE HEALTHCARE AND HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 6, 1999
Last certification
Feb 23, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Dec 14, 2017 in LA
Enrollment address
301 E Kaliste Saloom Rd
Ste 201
Lafayette, LA 70508-3288

Care Compare: Hospice

Medicare Care Compare
Listed as
Hope Healthcare and Hospice, LLCCCN 191551 · All quality measures
Ownership
For-Profit
Certified
May 6, 1999
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
19D2187345Hope Healthcare and Hospice, LLC301 E Kaliste Saloom Road, Suite 201, Lafayette, LA 70508Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

Locations

100 Asma Blvd
Ste 110
Lafayette, LA 70508
Phone (337) 703-4674

301 E Kaliste Saloom Rd
Ste 201
Lafayette, LA 70508
Phone (337) 703-4674

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Katherine McIver Individual W-2 Managing Employee Feb 14, 2020
Stephen M Moody Individual 5% Or Greater Indirect Ownership Interest Jan 31, 2018 55%
Victoria E Panelli-Ramery Individual Contracted Managing EmployeeMedical Dir Jan 31, 2018
M 5 Holdings LLC Organization, Lafayette, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 31, 2018 55%
Samuel Robertson Individual 5% Or Greater Indirect Ownership Interest Jan 31, 2018 10%
Samr Mortgage One LLC Organization, Lafayette, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 31, 2018 10%
Donna B Martin Individual 5% Or Greater Indirect Ownership Interest Jan 31, 2018 5%
Toby Savoy Individual 5% Or Greater Indirect Ownership Interest Jan 31, 2018 5%
JDM Land LLC Organization, Duson, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 31, 2018 5%
Savoy 1, LLC Organization, Eunice, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 31, 2018 5%

Owners & managing parties with NPI records 1

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

Change-of-ownership history 1

DateEventCounterparty
Jan 31, 2018 Change of OwnershipThis provider was the buyer Angel Care Hospice IncCCN 191551, LA, NPI 1073739975

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1790285187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E KALISTE SALOOM RD STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083288",
            "telephone_number": "337-703-4674",
            "fax_number": "337-456-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E KALISTE SALOOM RD STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083288",
            "telephone_number": "337-703-4674",
            "fax_number": "337-456-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HEALTHCARE AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CO-FOUNDER",
        "authorized_official_telephone_number": "337-703-4674"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203783122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580441",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donna.martin@hope-hospice.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 E Kaliste Saloom Rd Ste 201",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705083288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.