NPIMap

Organization Active NPI

Allegiance Hospice Care of West Central Louisiana LLC

  • Community Based Hospice Care Agency
  • Leesville, LA
National Provider Identifier
1992566855
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALLEGIANCE HOSPICE CARE OF WEST CENTRAL LOUISIANA LLC
Practice address
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone
(337) 509-4980
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Joe Monsour
Title
Ceo
Phone
(318) 226-8202

Specialties & licenses 1

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

Addresses

Primary practice location

1020 W Fertitta Blvd
Leesville, LA 71446-4645

Mailing address

1020 W Fertitta Blvd
Leesville, LA 71446-4645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241009001766 LA Part A Provider - Hospice 5698206035 Practice locations: Leesville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992566855. Details of each certification follow.

Hospice certification: CCN 191696

Legal name
ALLEGIANCE HOSPICE CARE OF WEST CENTRAL LOUISIANA LLC
Doing business as
ALLEGIANCE HEALTHCARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 5, 2024
Last certification
Nov 27, 2024
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Dec 27, 2023 in LA
Enrollment address
1020 W Fertitta Blvd
Leesville, LA 71446-4645

Care Compare: Hospice

Medicare Care Compare
Listed as
Allegiance Healthcare, LLCCCN 191696 · All quality measures
Certified
Dec 5, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Cindy Frazier Individual Corporate Director Feb 12, 2024
Operational/Managerial Control Dec 27, 2023
Rock Bordelon Individual 5% Or Greater Indirect Ownership Interest Dec 27, 2023 100%
Corporate Director Feb 12, 2024
Allegiance Healthcare of Louisiana, LLC Organization, Bossier City, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 27, 2023 100%
Operational/Managerial Control Dec 27, 2023
Brandon Melancon Individual Corporate DirectorCo-Chairman Feb 12, 2024
Operational/Managerial Control Dec 27, 2023
Joseph Monsour Individual Corporate DirectorCo-Chairman Feb 12, 2024
Operational/Managerial Control Dec 27, 2023

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1992566855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464645",
            "telephone_number": "337-509-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE HOSPICE CARE OF WEST CENTRAL LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MONSOUR",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-226-8202"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.