SUPERIOR HOSPICE OF NORTHWEST LOUISIANA, LLC (NPI# 1255521183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255521183 |
| Entity Type | Organization |
| Organization Name | SUPERIOR HOSPICE OF NORTHWEST LOUISIANA, LLC |
| Practice Address |
511 Jenkins St. Suite B Mansfield LA 71052 |
| Mailing Address |
1523 Texas Ave. Bastrop LA 71220-4043 |
| Practice Telephone | 3188722000 |
| Practice Fax Number | 3188722001 |
| Mailing Telephone | 3182810078 |
| Mailing Fax Number | 3182812753 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | CHARLES G GLADNEY JR. (MANAGING PARTNER) |
| Authorized Official Telephone | 3182810078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | TBD | LA | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 238 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| JOINT COMMISSION HCO ID | 468572 | 01 | |
| LA | 1381179 | 05 |
| Street Address |
511 JENKINS ST. SUITE B |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568826279 | Lms Hospice, LLC | Hospice Care, Community Based | 733 U.S. Hwy 287, Suites 601 & 603, Mansfield, TX 76063-7606 | 2016-04-08 |
| 1235531385 | Deo Bhati M.d. | Hospice Care, Community Based | 3 Pond View Ct, Mansfield, TX 76063-5471 | 2014-09-19 |
| 1669886040 | Ckd Hospice & Palliative Care Inc | Hospice Care, Community Based | 1015 E Dallas St Ste 2, Mansfield, TX 76063-2029 | 2014-06-13 |
| 1255379269 | Southerncare, Inc. | Hospice Care, Community Based | 775 Lexington Ave, Suite M, Mansfield, OH 44907-1906 | 2006-06-02 |
| 1447792932 | Lone Star Visiting Caregivers LLC | Hospice Care, Community Based | 752 N Main St, Unit 1880, Mansfield, TX 76063-3229 | 2016-11-15 |
| 1295148559 | Greenleaf Hospice LLC | Hospice Care, Community Based | 1290 Highway 157 N, Mansfield, TX 76063-1538 | 2014-06-04 |
| 1033153119 | Medcentral Homecare and Hospice | Hospice Care, Community Based | 1020 Cricket Ln, Mansfield, OH 44906-4104 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722194 | Assisted Family Services, LLC. | Hospice Care, Community Based | 412 Madeline St, Rayville, LA 71269-2514 | 2020-08-28 |
| 1063021517 | Attentive Residences | Hospice Care, Community Based | 31 Curtis Dr, New Orleans, LA 70126-1660 | 2020-07-29 |
| 1730797739 | Prime Star Hospice Nwla | Hospice Care, Community Based | 2434 Mannings St Ste 2, Ringgold, LA 71068-2401 | 2020-07-16 |
| 1891313029 | Prime Star Hospice Inc. | Hospice Care, Community Based | 1008 Julia St Ste 2, Rayville, LA 71269-2603 | 2020-07-14 |
| 1447880448 | Connie Marie Harvey | Hospice Care, Community Based | 11832 Newcastle Ave Ste 11-12, Baton Rouge, LA 70816-8997 | 2020-01-19 |
| 1740849405 | Heritage Hospice LLC | Hospice Care, Community Based | 1402 S Magnolia St Ste K, Hammond, LA 70403-5020 | 2019-06-06 |
| 1184181182 | Heart of Hospice LLC | Hospice Care, Community Based | 3829 Gilbert Dr, Shreveport, LA 71104-5005 | 2019-02-26 |
| 1255898763 | Saint Mark Hospice and Palliative Care LLC | Hospice Care, Community Based | Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 | 2019-02-21 |
| 1780148197 | Palliative Medicine of Acadiana | Hospice Care, Community Based | 803 Albertson Pkwy Ste B, Broussard, LA 70518-4349 | 2019-01-30 |
| 1912476615 | Heart of Hospice LLC | Hospice Care, Community Based | 2531 E 70th St, Shreveport, LA 71105-4001 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.