Prime Star Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIME STAR HOSPICE INC.

Practice address

1008 Julia St Ste 2
Rayville, LA 71269-2603

Phone

(318) 329-8292

NPI assigned

Jul 14, 2020

Last updated

Aug 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Castleman, RN-HCS-C

Title

Administrator

Phone

(318) 329-8292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598140800000",
    "number": "1891313029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 JULIA ST STE 2",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692603",
            "telephone_number": "318-329-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME STAR HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A",
        "authorized_official_last_name": "CASTLEMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-329-8292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN-HCS-C"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashanda Porter
• Shannon Porter
• Elaine Denise Poullard-Edward
• Lincoln Powell Jr.
• Ted Allan Prestridge Jr.
• Primestar Home Health
• Matthew Daniel Prine, MD
• Alex Promise
• Mikala Ramirez, RN
• Linda Rancher

• Community Based Hospice Care Agency in Rayville, LA
• Providers in Rayville, 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 Aug 23, 2020; 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.