HOSPICE OF SHREVEPORT, INC. (NPI# 1700883063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700883063 |
| Entity Type | Organization |
| Organization Name | HOSPICE OF SHREVEPORT, INC. |
| Other Organization Name | HOSPICE OF SHREVEPORT/BOSSIER |
| Practice Address |
3829 Gilbert Madison Park Shreveport LA 71104-5005 |
| Mailing Address |
3829 Gilbert Dr Madison Park Business Center Shreveport LA 71104-5005 |
| Practice Telephone | 3188657177 |
| Practice Fax Number | 3188654077 |
| Mailing Telephone | 3188657177 |
| Mailing Fax Number | 3188654077 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | MRS. MARTHA C. MCDURMOND (ADMINISTRATOR) |
| Authorized Official Telephone | 3188657177 |
| Authorized Official Credential | CHA, NFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 263 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1580201 | 05 |
| Other Name | Type Code |
|---|---|
| Hospice of Shreveport/Bossier | Doing Business As Name - Organization |
| Street Address |
3829 GILBERT MADISON PARK |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181182 | Heart of Hospice LLC | Hospice Care, Community Based | 3829 Gilbert Dr, Shreveport, LA 71104-5005 | 2019-02-26 |
| 1912476615 | Heart of Hospice LLC | Hospice Care, Community Based | 2531 E 70th St, Shreveport, LA 71105-4001 | 2018-11-26 |
| 1861883183 | Lhcg Xliv, LLC | Hospice Care, Community Based | 2529 E 70th St, Suite 306, Shreveport, LA 71105-4046 | 2015-02-09 |
| 1194034868 | Carson Investments of Louisiana, Inc | Hospice Care, Community Based | 4427 Youree Dr, Shreveport, LA 71105-3620 | 2010-09-29 |
| 1710199351 | Harmony Life Hospice, Inc. | Hospice Care, Community Based | 2529 East 70th Street, Suite 306, Shreveport, LA 71105-4044 | 2007-05-04 |
| 1386856482 | Assurance Care Services Inc. | Hospice Care, Community Based | 4908 Monkhouse Dr, Shreveport, LA 71109-6114 | 2007-05-03 |
| 1689771552 | Circle of Life Hospice, Inc. | Hospice Care, Community Based | 920 E 70th St, Suite B, Shreveport, LA 71106-3400 | 2006-09-20 |
| 1780786590 | Community Hospices of America, Inc. | Hospice Care, Community Based | 8660 Fern Ave, Suite 145, Shreveport, LA 71105-5649 | 2006-09-02 |
| 1639109952 | Jordan's Crossing Hospice, LLC | Hospice Care, Community Based | 624 Travis St, Suite 700, Shreveport, LA 71101-3013 | 2006-07-03 |
| 1063470847 | Lifepath Hospice Care Services, LLC | Hospice Care, Community Based | 1500 N Market St, Suite B 108, Shreveport, LA 71107-6537 | 2006-05-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on HOSPICE OF SHREVEPORT, INC..
| 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.