NPIMap

Organization Active NPI

Camellia Hospice of East Louisiana, LLC

Doing business as Enhabit Hospice of Vidalia

  • Community Based Hospice Care Agency
  • Vidalia, LA
National Provider Identifier
1811295603
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
348 Issued in LA
Legal business name
CAMELLIA HOSPICE OF EAST LOUISIANA, LLC
Doing business as
Enhabit Hospice of Vidalia
Practice address
1653 Carter St
Vidalia, LA 71373
Phone
(318) 336-8989
Fax
(318) 336-9876
NPI assigned
Mar 3, 2011
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 348 LA Primary

Addresses

Primary practice location

1653 Carter St
Vidalia, LA 71373

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Hospice of Vidalia Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HOSPICE.LA.VDH@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000602 LA Part A Provider - Hospice 2264617067 Practice locations: Vidalia, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811295603. Details of each certification follow.

Hospice certification: CCN 191571

Legal name
CAMELLIA HOSPICE OF EAST LOUISIANA, LLC
Doing business as
ENHABIT HOSPICE OF VIDALIA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 31, 2002
Last certification
Oct 29, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
1653 Carter St
Vidalia, LA 71373-3110

Care Compare: Hospice

Medicare Care Compare
Listed as
Enhabit Hospice of VidaliaCCN 191571 · All quality measures
Ownership
For-Profit
Certified
Dec 31, 2002
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
19D2022114Enhabit Hospice of Vidalia1653 Carter Street, Vidalia, LA 71373Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1653 Carter St
Vidalia, LA 71373
Phone (318) 336-8989

4004 Carter St
Vidalia, LA 71373
Phone (318) 336-8989

Interoperability endpoints

  • Direct secure messaging: enhabit.hospice.la.vdh@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Jul 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024
Deerfield Management Company LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.97%
Blackrock Inc Organization, New York, NY Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 16.1%
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Chief Executive Officer Jun 21, 2021
Operational/Managerial ControlPresident & Ceo, Chain Home Off Adm Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 22, 2023
Julie D Jolley Individual Corporate OfficerEvp of Home Health Operations Jun 4, 2021
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2023 11.38%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Scott J Wolfe Individual Contracted Managing EmployeeMD; Sep 1, 2019
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Jun 30, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2018 100%
Penny R Crain Individual W-2 Managing EmployeeAdministrator Feb 21, 2023
Dylan C Black Individual Corporate OfficerGeneral Counsel / Off Secretary Feb 22, 2023
Eh Home Health of the Southeast, LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Direct Ownership Interest May 1, 2018 100%
Jeanne L Kalvaitis Individual Corporate OfficerExecutive VP of Hospice Operations Jul 1, 2022
Ryan T Solomon Individual Corporate OfficerChief Financial Officer Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Owners & managing parties with NPI records 9

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

Facilities with the same owner 196

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

View all 196

Practitioners & affiliated clinicians

Practitioners 2

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 1

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1811295603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 CARTER ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "71373",
            "telephone_number": "318-336-8989",
            "fax_number": "318-336-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA HOSPICE OF EAST LOUISIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2011-03-03",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HOSPICE.LA.VDH@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "1653 Carter St",
            "city": "Vidalia",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice of Vidalia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, LA

Sources for this page

Verify at the official NPI Registry.