NPIMap

Organization Active NPI

Hospice of South Louisiana, LLC

  • Community Based Hospice Care Agency
  • Houma, LA
National Provider Identifier
1891798302
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
102 Issued in LA
Legal business name
HOSPICE OF SOUTH LOUISIANA, LLC
Practice address
6500 W Main St
Houma, LA 70360-2267
Phone
(985) 868-3095
Fax
(985) 868-3910
NPI assigned
May 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Stephanie Schedler
Title
Ceo
Phone
(985) 626-3281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 102 LA Primary

Addresses

Primary practice location

6500 W Main St
Houma, LA 70360-2267

Mailing address

PO Box 650
Mandeville, LA 70470-0650
Phone (985) 626-3281

Other identifiers 1

IdentifierTypeStateIssuer
1580694MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

205 Bayou Gardens Blvd
Ste E
Houma, LA 70364
Phone (985) 868-3095

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 1, 2022 Change of OwnershipThis provider was the seller Hope Healthcare and Hospice BC LLCCCN 191510, LA, NPI 1427795384

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1891798302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700650",
            "telephone_number": "985-626-3281",
            "fax_number": "985-626-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602267",
            "telephone_number": "985-868-3095",
            "fax_number": "985-868-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SOUTH LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHEDLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-626-3281"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580694",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.