Provider Demographics
NPI:1740429786
Name:FIVE POINTS HEALTHCARE OF LOUISIANA, LLC
Entity Type:Organization
Organization Name:FIVE POINTS HEALTHCARE OF LOUISIANA, LLC
Other - Org Name:AAA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF SHARED SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BETTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-692-4417
Mailing Address - Street 1:3525 PIEDMONT RD NE
Mailing Address - Street 2:SUITE 8-515
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1578
Mailing Address - Country:US
Mailing Address - Phone:404-692-4417
Mailing Address - Fax:404-461-9088
Practice Address - Street 1:101 LA RUE FRANCE
Practice Address - Street 2:STE 301
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3144
Practice Address - Country:US
Practice Address - Phone:337-264-1650
Practice Address - Fax:337-264-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA191669Medicare Oscar/Certification