PRIME STAR HOSPICE NWLA (NPI# 1730797739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730797739 |
| Entity Type | Organization |
| Organization Name | PRIME STAR HOSPICE NWLA |
| Practice Address |
2434 Mannings St Ste 2 Ringgold LA 71068-2401 |
| Mailing Address |
1527 Doctors Dr Bossier City LA 71111-3694 |
| Practice Telephone | 3182591410 |
| Mailing Telephone | 3182591410 |
| Mailing Fax Number | 3185326088 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MRS. TIFFANY A CASTLEMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3182591410 |
| Authorized Official Credential | RN-HCS-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
2434 MANNINGS ST STE 2 |
| City | RINGGOLD |
| State | LA |
| Zip Code | 71068-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667027 | Jc Pharmacy, LLC | Pharmacy | 3329 Hwy 371, Ringgold, LA 71068 | 2019-12-26 |
| 1952871733 | Patricia Shelton-rambo | Physical Therapy Assistant | 139 Military Road Highway 371, Ringgold, LA 71068 | 2018-12-05 |
| 1093191678 | Katherine Washington | Nurse Practitioner | 2826 Bienville Hwy, Ringgold, LA 71068 | 2015-08-05 |
| 1952350456 | Primestar Home Health of Nwla Inc | Home Health | 2434 Manning St, Ringgold, LA 71068 | 2006-05-10 |
| 1558419960 | Donald Ray Moseley | Dentist | 2926 Bienville, Ringgold, LA 71068-0279 | 2007-01-08 |
| 1992870901 | Ringgold Nursing and Rehabiliation Center, LLC | Skilled Nursing Facility | 2501 Kenneth St, Ringgold, LA 71068-2585 | 2006-11-22 |
| 1467680256 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 2866 Bienville Rd, Ringgold, LA 71068-2588 | 2009-06-30 |
| 1629172150 | Bill Scott's Pharmacy, Inc | Pharmacist | 2826 Bienville Rd, Ringgold, LA 71068-2588 | 2006-09-13 |
| 1023585635 | Jenna Seets | Nurse Practitioner | 2826 Bienville Rd, Ringgold, LA 71068-2588 | 2018-11-01 |
| 1285149401 | Leanna M Tyler | Nurse Practitioner | 2826 Bienville Rd, Ringgold, LA 71068-2588 | 2017-12-11 |
| Find all providers in zip 71068 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123701 | Tapestry Hospice of Fort Oglethorpe | Hospice Care, Community Based | 4966 Battlefield Pkwy, Ringgold, GA 30736-8071 | 2017-06-05 |
| 1740655778 | Georgia Caris Healthcare LLC | Hospice Care, Community Based | 127 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2015-12-02 |
| 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 |
| 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 |
| 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.