Provider Demographics
NPI:1134494453
Name:SOUTH LOUISIANA HOSPICE, LLC
Entity Type:Organization
Organization Name:SOUTH LOUISIANA HOSPICE, LLC
Other - Org Name:AUDUBON HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HR/ ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-924-6830
Mailing Address - Street 1:9332 INTERLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1909
Mailing Address - Country:US
Mailing Address - Phone:225-924-6830
Mailing Address - Fax:225-924-6829
Practice Address - Street 1:9332 INTERLINE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1909
Practice Address - Country:US
Practice Address - Phone:225-924-6830
Practice Address - Fax:225-924-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2339770Medicaid