GENESIS HOSPICE, LLC (NPI# 1558330191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558330191 |
| Entity Type | Organization |
| Organization Name | GENESIS HOSPICE, LLC |
| Other Organization Name | MODERN HOSPICE, LLC |
| Practice Address |
42078 Veterans Ave Suite B Hammond LA 70403-1490 |
| Practice Telephone | 9854290210 |
| Practice Fax Number | 9854292635 |
| Mailing Telephone | 9854290210 |
| Mailing Fax Number | 9854292635 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | JOHN P STAGG (OWNER/MANAGER) |
| Authorized Official Telephone | 2259529141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 86 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1580481 | 05 |
| Other Name | Type Code |
|---|---|
| Modern Hospice, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902330574 | Genesis Hospice, LLC | Hospice Care, Community Based | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2017-04-20 |
| Street Address |
42078 VETERANS AVE SUITE B |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803115 | Ashley Monique Bivona | Nurse Practitioner | 42078 Veterans Ave, Hammond, LA 70403-1490 | 2020-02-12 |
| 1093163057 | Cardiovascular Advantages, LLC | Clinic/Center | 42078 Veterans Ave, Hammond, LA 70403-1490 | 2016-06-01 |
| 1124489265 | Palafox Leasing LLC | Clinic/Center | 42078 Veterans Ave, Suite F, Hammond, LA 70403-1490 | 2016-03-17 |
| 1891178935 | Victoria Arthur | Physician Assistant | 42078 Veterans Ave, Suite H, Hammond, LA 70403-1490 | 2015-07-07 |
| 1861762130 | Taylor Gantt Bech | Physician Assistant | 42078 Veterans Ave, Suite H, Hammond, LA 70403-1490 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849405 | Heritage Hospice LLC | Hospice Care, Community Based | 1402 S Magnolia St Ste K, Hammond, LA 70403-5020 | 2019-06-06 |
| 1538386875 | Gloss Enterprise | Hospice Care, Community Based | 512 J W Davis Dr, Ste. D, Hammond, LA 70403-3992 | 2007-04-19 |
| 1972635878 | Gloss Enterprise | Hospice Care, Community Based | 512 J W Davis Dr Ste D, Hammond, LA 70403-3992 | 2007-03-09 |
| 1508833617 | Lakeshore Hospice Acquisition, LLC | Hospice Care, Community Based | 15781 Professional Plz, Hammond, LA 70403-1452 | 2006-03-07 |
| 1609140599 | Attentive Hospice Metairie, LLC | Hospice Care, Community Based | 906 C M Fagan Dr, Suite 6b, Hammond, LA 70403-6056 | 2012-02-24 |
| 1265601140 | Assured Health Care Providers, L.L.C. | Hospice Care, Community Based | 906 C M Fagan Dr, Ste A-4, Hammond, LA 70403-6056 | 2008-02-26 |
| 1477752459 | Gloss Enterprise, LLC | Hospice Care, Community Based | 512 J W Davis Dr, Ste. D, Hammond, LA 70403-3992 | 2007-07-11 |
| 1053397877 | North Oaks Medical Center, LLC | Hospice Care, Community Based | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2005-12-22 |
| 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 |
| 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 |
| 1639648330 | Heart of Hospice LLC | Hospice Care, Community Based | 4212 American Way Ste C, Baton Rouge, LA 70816-5705 | 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.