HARBOR HOSPICE OF LAFAYETTE, LLC (NPI# 1306040928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306040928 |
| Entity Type | Organization |
| Organization Name | HARBOR HOSPICE OF LAFAYETTE, LLC |
| Practice Address |
102 Magnate Dr Suite 100 Lafayette LA 70508-3840 |
| Mailing Address |
3406 College St Suite 200 Beaumont TX 77701-4612 |
| Practice Telephone | 3379489004 |
| Practice Fax Number | 3379489200 |
| Mailing Telephone | 4098132332 |
| Mailing Fax Number | 4092320573 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | BRAD THIBODAUX (CHIEF DATA OFFICER) |
| Authorized Official Telephone | 4098132332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 220 | LA | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 19-1653 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PROVIDER | 19-1653 | 01 | |
| LA | 1031780 | 05 | |
| LA | DHH | 290 | 01 |
| Street Address |
102 MAGNATE DR SUITE 100 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303647 | Grace Hospice and Palliative Care, LLC | Hospice Care, Community Based | 217 Rue Louis Xiv Ste 100, Lafayette, LA 70508-5778 | 2018-04-10 |
| 1659753051 | Lhcg Lxvii, LLC | Hospice Care, Community Based | 4540 Ambassador Caffery Pkwy Ste B230, Lafayette, LA 70508-6928 | 2015-06-22 |
| 1467854158 | Heart of Hospice LLC | Hospice Care, Community Based | 1100 Bertrand Dr, Lafayette, LA 70506 | 2014-09-24 |
| 1750541652 | American Home Care Alternatives | Hospice Care, Community Based | 850 Kaliste Saloom Rd Ste 202, Lafayette, LA 70508-4230 | 2008-06-13 |
| 1942471230 | Audubon Hospice of Lafayette, Inc | Hospice Care, Community Based | 221 Rue De Jean, Suite 201, Lafayette, LA 70508 | 2008-03-14 |
| 1144427477 | St. Joseph Hospice of Acadiana, L.L.C. | Hospice Care, Community Based | 923 W Pinhook Rd, Lafayette, LA 70503-2405 | 2007-06-29 |
| 1346446879 | Regional Hospice and Palliative Services -central,llc | Hospice Care, Community Based | 1921 Dulles Street, Suite B, Lafayette, LA 70506 | 2007-06-22 |
| 1356555676 | Heart of Hospice of Houma-thibodeaux LLC | Hospice Care, Community Based | 102 Windham Cir, Lafayette, LA 70503-5482 | 2007-05-09 |
| 1760603070 | Hospice Care of Louisiana, LLC | Hospice Care, Community Based | 610 W Pinhook Rd, Lafayette, LA 70503 | 2007-05-02 |
| 1073739975 | Angel Care Hospice, Inc. | Hospice Care, Community Based | 1406 Ne Evangeline Trwy, Suite 100, Lafayette, LA 70501-2830 | 2007-04-18 |
| Find all providers in LAFAYETTE | ||||
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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.