Provider Demographics
NPI:1386179984
Name:ST. IGNATIUS HOSPICE LLC
Entity Type:Organization
Organization Name:ST. IGNATIUS HOSPICE LLC
Other - Org Name:HOSPICE SPECIALISTS OF LOUISIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEHARDY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:504-812-0532
Mailing Address - Street 1:4200 EUPHROSINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1315
Mailing Address - Country:US
Mailing Address - Phone:504-401-2900
Mailing Address - Fax:045-336-2303
Practice Address - Street 1:150 S 7TH ST STE C
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-3321
Practice Address - Country:US
Practice Address - Phone:985-288-1670
Practice Address - Fax:985-288-1869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based