NPIMap

Organization Active NPI

Concerned Care Hospice LLC

  • Community Based Hospice Care Agency
  • Metairie, LA
National Provider Identifier
1932117645
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
146A Issued in LA
Legal business name
CONCERNED CARE HOSPICE LLC
Practice address
3621 Ridgelake Dr Ste 201
Metairie, LA 70002-1739
Phone
(504) 210-1971
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Jody Martin
Title
Owner
Phone
(985) 892-3947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 146A LA Primary

Addresses

Primary practice location

3621 Ridgelake Dr Ste 201
Metairie, LA 70002-1739

Mailing address

110 Wisteria Dr
Pass Christian, MS 39571-4728
Phone (985) 892-3947

Other practice location 1

125 N Theard St Ste C
Covington, LA 70433-2831
Phone (985) 892-3947

Other identifiers 1

IdentifierTypeStateIssuer
1581020MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000056 LA Part A Provider - Hospice 7911989595 Practice locations: Covington, LA; Metairie, LA

Hospice certification: CCN 191589

Legal name
CONCERNED CARE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 31, 2004
Last certification
Jul 13, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Apr 22, 2004 in LA
Enrollment address
125 N Theard St
Ste C
Covington, LA 70433-2831

Care Compare: Hospice

Medicare Care Compare
Listed as
Concerned Care HospiceCCN 191589 ยท All quality measures
Ownership
For-Profit
Certified
Aug 31, 2004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3621 Ridgelake Dr
Ste 301
Metairie, LA 70002
Phone (504) 832-2433

3017 N Causeway Blvd
Ste 203B
Metairie, LA 70002
Phone (985) 892-7420

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jody Creighton Martin Individual 5% Or Greater Direct Ownership Interest Aug 13, 2007 49%
Richard H Martin Individual 5% Or Greater Indirect Ownership Interest Aug 13, 2007 51%
W-2 Managing Employee Jun 1, 2004
Concerned Care Hospice LLC Organization, Covington, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 22, 2004 100%

Practitioners & affiliated clinicians

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1932117645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WISTERIA DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714728",
            "telephone_number": "985-892-3947",
            "fax_number": "504-518-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 RIDGELAKE DR STE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021739",
            "telephone_number": "504-210-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 N Theard St Ste C",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704332831",
            "country_code": "US",
            "telephone_number": "985-892-3947",
            "fax_number": "504-518-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCERNED CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-892-3947"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "146A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581020",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.