Organization Active NPI

J. Donald Persich

  • Community Based Hospice Care Agency
  • Jefferson, LA
National Provider Identifier
1952731580
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
J. DONALD PERSICH
Practice address
1221 S. Clearview Pkwy, Fourth Floor
Canon Hospice
Jefferson, LA 70121
Phone
(504) 818-2723
Fax
(504) 734-3509
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Ms. Sue C May, CHPLN, CHA
Title
Administrator
Phone
(504) 729-6920

Specialties & licenses 1

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

Addresses

Primary practice location

1221 S. Clearview Pkwy, Fourth Floor
Canon Hospice
Jefferson, LA 70121

Mailing address

4609 Gary Mikel Ave
Metairie, LA 70002-1459
Phone (504) 887-5010

Other identifiers 1

IdentifierTypeStateIssuer
006826OtherLAMEDICAL LICENSE NUMBER STATE OF LOUISIANA

National Provider Directory

National Provider Directory

Locations

1221 S Clearview Pkwy
Fl Fourth
Jefferson, LA 70121
Phone (504) 818-2723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1952731580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 GARY MIKEL AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021459",
            "telephone_number": "504-887-5010",
            "fax_number": "504-734-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S. CLEARVIEW PKWY, FOURTH FLOOR",
            "address_2": "CANON HOSPICE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-818-2723",
            "fax_number": "504-734-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DONALD PERSICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-729-6920",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHPLN, CHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER STATE OF LOUISIANA",
            "identifier": "006826",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.