NPIMap

Organization Active NPI

Hospice in His Care, LLC

  • Community Based Hospice Care Agency
  • Baton Rouge, LA
National Provider Identifier
1831267558
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE IN HIS CARE, LLC
Practice address
4301 Bluebonnet Blvd
Baton Rouge, LA 70809-9643
Phone
(225) 214-0010
Fax
(225) 490-4237
NPI assigned
Dec 1, 2006
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
David Martin
Title
Owner/Manager
Phone
(504) 491-4988

Specialties & licenses 1

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

Addresses

Primary practice location

4301 Bluebonnet Blvd
Baton Rouge, LA 70809-9643

Mailing address

4301 Bluebonnet Blvd
Baton Rouge, LA 70809-9643
Phone (225) 214-0010

Other identifiers 1

IdentifierTypeStateIssuer
1580929MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041115000345 LA Part A Provider - Hospice 7911961552 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831267558. Details of each certification follow.

Hospice certification: CCN 191581

Legal name
HOSPICE IN HIS CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 30, 2003
Last certification
Jan 28, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 22, 2004 in LA
Enrollment address
4301 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809-9643

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice in His Care, LLCCCN 191581 · All quality measures
Ownership
For-Profit
Certified
Sep 30, 2003
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
19D1030711Hospice in His Care LLC4301 Bluebonnet Blvd Suite B, Baton Rouge, LA 70809Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

3233 S Sherwood Forest Blvd
Ste 102
Baton Rouge, LA 70816
Phone (225) 214-0010

4301 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809
Phone (225) 214-0010

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Jeannine B Martin Individual Other Dec 31, 2022
DJM 2004 Trust No. 1 Organization, Metairie, LA 5% Or Greater Indirect Ownership Interest Dec 31, 2022 5.78%
Andrew Paul Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2022 38.1%
Paul Family Holdings, LLLP Organization, Aspen, CO Holding company 5% Or Greater Indirect Ownership Interest Dec 31, 2022 19%
Pondfield Holdings, LLC Organization, Aspen, CO LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 0.19%
Margaret B Paul Individual Other Dec 31, 2022
Paul Family 2012 Irrevocable Trust Organization, Newark, DE 5% Or Greater Indirect Ownership Interest Dec 31, 2022 18.81%
Dav-Jen Enterprises, LLC Organization, Metairie, LA LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 11.8%
Melissa Peairs Individual Corporate OfficerSenior VP of Clinical Services Dec 31, 2022
Operational/Managerial Control Dec 31, 2022
Champion Management LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 15%
Superior Health Holdings Inc Organization, Wilmington, DE Corporation 5% Or Greater Direct Ownership Interest Dec 31, 2022 100%
Superior Health Parent, LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 100%
John P Stagg Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2022 15%
JBM 2004 Trust No. 1 Organization, Metairie, LA 5% Or Greater Indirect Ownership Interest Dec 31, 2022
Amp Associates, LLC Organization, Aspen, CO LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 38.1%
David Joseph Martin Individual Corporate Director Dec 31, 2022
Other Dec 31, 2022

Facilities with the same owner 9

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

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 4

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1831267558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099643",
            "telephone_number": "225-214-0010",
            "fax_number": "225-490-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099643",
            "telephone_number": "225-214-0010",
            "fax_number": "225-490-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE IN HIS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "504-491-4988"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580929",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.