Provider Demographics
NPI:1033180674
Name:HOSPICE CARE RESOURCES, LLC
Entity Type:Organization
Organization Name:HOSPICE CARE RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM./DON/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-435-5323
Mailing Address - Street 1:204 FAIR AVE
Mailing Address - Street 2:P.O. BOX 1035
Mailing Address - City:WINNSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71295-2118
Mailing Address - Country:US
Mailing Address - Phone:318-435-5323
Mailing Address - Fax:318-435-5351
Practice Address - Street 1:204 FAIR AVE
Practice Address - Street 2:POST OFFICE 1035
Practice Address - City:WINNSBORO
Practice Address - State:LA
Practice Address - Zip Code:71295-2939
Practice Address - Country:US
Practice Address - Phone:318-435-5323
Practice Address - Fax:318-435-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA191613Medicare Oscar/Certification
LA19-1613Medicare ID - Type Unspecified