Provider Demographics
NPI:1376516674
Name:HOSPICE OF NATCHITOCHES, INC.
Entity Type:Organization
Organization Name:HOSPICE OF NATCHITOCHES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:SERS
Authorized Official - Last Name:LACOUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-214-0944
Mailing Address - Street 1:340 2ND ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-4306
Mailing Address - Country:US
Mailing Address - Phone:318-214-0944
Mailing Address - Fax:318-214-0567
Practice Address - Street 1:340 2ND ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-4306
Practice Address - Country:US
Practice Address - Phone:318-214-0944
Practice Address - Fax:318-214-0567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA89251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1580503Medicaid
LA191561Medicare ID - Type UnspecifiedHOSPICE