PREMIER HOSPICE, LLC (NPI# 1720011588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720011588 |
| Entity Type | Organization |
| Organization Name | PREMIER HOSPICE, LLC |
| Practice Address |
1513 Texas Ave Bastrop LA 71220-4043 |
| Mailing Address |
1523 Texas Ave Bastrop LA 71220-4043 |
| Practice Telephone | 3185561999 |
| Practice Fax Number | 3185561997 |
| Mailing Telephone | 3182810078 |
| Mailing Fax Number | 3182812753 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | MR. CHARLES G. GLADNEY JR. (MANAGING PARTNER) |
| Authorized Official Telephone | 3182810078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1584151 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992198337 | Premier Hospice, LLC | Internal Medicine | 33259 Dequindre Rd, Suite C, Troy, MI 48083-4628 | 2015-03-10 |
| 1003060310 | Premier Hospice, LLC | Hospice Care, Community Based | 33333 Dequindre Rd, Suite D, Troy, MI 48083-4624 | 2008-11-13 |
| Street Address |
1513 TEXAS AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316374408 | S&p Gupta Enterprise LLC | Hospice Care, Community Based | 489 Agnes St Ste 100, Bastrop, TX 78602-2157 | 2013-10-03 |
| 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.